Organization
GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION
Active
Other names
Brickways
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R ONAN (EXECUTIVE DIRECTOR)
(231) 932-9030
Entity
Organization
Contact information
Practice address
935 BARLOW ST, TRAVERSE CITY, MI 49686-4250
(231) 932-9030
(231) 941-3421
Mailing address
935 BARLOW ST, TRAVERSE CITY, MI 49686-4250
(231) 932-9030
(231) 941-3421
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6401007670
MI
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
6401007670
MI
Other
Enumeration date
05/29/2014
Last updated
01/26/2017
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