Healthcare Provider Details

I. General information

NPI: 1225438021
Provider Name (Legal Business Name): ALTERNATIVE OPPURTUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W POPLAR ST STE 200
MC CRORY AR
72101-8268
US

IV. Provider business mailing address

900 W POPLAR ST STE 200
MC CRORY AR
72101-8268
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-8900
  • Fax: 870-793-8959
Mailing address:
  • Phone: 870-793-8900
  • Fax: 870-793-8959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEANNE BROSIUS
Title or Position: QC
Credential:
Phone: 870-793-8900