Healthcare Provider Details

I. General information

NPI: 1457586034
Provider Name (Legal Business Name): ALTERNATIVE OPPORTUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SE AVE A
IDABEL OK
74745-4620
US

IV. Provider business mailing address

4 SE AVE A
IDABEL OK
74745-4620
US

V. Phone/Fax

Practice location:
  • Phone: 580-286-5262
  • Fax: 580-286-5595
Mailing address:
  • Phone: 580-286-5262
  • Fax: 580-286-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA RAGAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 580-745-9610