Organization
DISABLED RESOURCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MARIA WYANT BSW (PROGRAM DIRECTOR)
(970) 449-6970
Entity
Organization
Contact information
Practice address
1017 ROBERTSON ST, FORT COLLINS, CO 80524-3915
(970) 482-2700
(970) 449-6972
Mailing address
1017 ROBERTSON ST, FORT COLLINS, CO 80524-3915
(970) 482-2700
(970) 449-6972
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05028256
—
CO
Enumeration date
09/16/2014
Last updated
09/16/2014
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