Organization Name: | ALTERNATIVE OPPORTUNITIES |
NPI Number: | 1063548808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORNA PEDERSON-RAMBO (EXECUTIVE DIRECTOR) |
Mailing Address: | 114 E Broadway St Cushing |
State: | OK US |
Postal Code: | 740233334 |
Phone Number: | 9182251225 |
Fax Number: | 9182255120 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |