Healthcare Provider Details

I. General information

NPI: 1033245329
Provider Name (Legal Business Name): ALTERNATIVE OPPORTUNITIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 STRAKA TER
OKLAHOMA CITY OK
73139-2544
US

IV. Provider business mailing address

500 N WALKER AVE SUITE 190 & 200
OKLAHOMA CITY OK
73102-1619
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-6688
  • Fax: 405-604-0923
Mailing address:
  • Phone: 405-702-9721
  • Fax: 405-702-9720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MORNA PEDERSON-RAMBO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-702-9721