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Contact Information

GRAND TRAVERSE RESOURCE CENTER
1209 E 8TH ST
TRAVERSE CITY, MI49686-2938
 Phone: 231-360-8705
 Fax: 231-252-4494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Local Education Agency (LEA)

251300000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for GRAND TRAVERSE RESOURCE CENTER

NPI # 1558048207
LBN Legal business name GRAND TRAVERSE RESOURCE CENTER
Authorized official COLETTE STEPHENSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2023
Last updated 07/03/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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