Wolverine Academy, LLC

NPI #1881993749 in Palmer, Alaska

Provider Information

NPI Number: 1881993749
Entity Type: Organization
Organization Name: Wolverine Academy, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 17, 2011
Last Updated: Mar 17, 2011

Practice Location

Address: 15700 E CLARK RD
City: Palmer
State: Alaska
ZIP Code: 99645-8705
Phone: (907) 746-3442

Authorized Official

Name: MRS. KELLY ANN BARRETT-GODWIN
Title: OWNER/DESIGNEE
Phone: (907) 746-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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