Organization
WELLCARE INC.
Active
Parent organization
WELLCARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLCARE INC.
Authorized official
TIM DAN CAMPBELL (OWNER/CFO)
(719) 598-5555
Entity
Organization
Contact information
Practice address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 598-5555
(719) 388-2030
Mailing address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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