Organization
THE WOLF PACK RESIDENTIAL AND DAY PROGRAM SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DAVID PLATZ (CHAIRMAN OF THE BOARD)
(970) 278-4097
Entity
Organization
Contact information
Practice address
1512 W 12TH ST, LOVELAND, CO 80537-4435
(970) 278-4097
Mailing address
1512 W 12TH ST, LOVELAND, CO 80537-4435
(970) 278-4097
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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