Healthcare Provider Details

I. General information

NPI: 1174835680
Provider Name (Legal Business Name): ALTERNATIVE OPPORTUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 WEST GAINES
MONTICELLO AR
71655-3954
US

IV. Provider business mailing address

602 N WALTON BLVD
BENTONVILLE AR
72712-4576
US

V. Phone/Fax

Practice location:
  • Phone: 870-367-2141
  • Fax: 870-367-2103
Mailing address:
  • Phone: 479-464-1060
  • Fax: 479-271-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HELEN BALDING
Title or Position: CORP INSURANCE DIR
Credential:
Phone: 479-271-6107