NPI 1881993749

Wolverine Academy, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Palmer, AK

Practice location

Address: 15700 E Clark Rd, Palmer, AK 99645-8705
Phone: (907) 746-3442
Fax: (907) 746-4847

Authorised official

Name: Kelly Ann Barrett-Godwin
Title: Owner/Designee
Phone: (907) 746-3442

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 942851 (AK)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1881993749
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.