Healthcare Provider Details

I. General information

NPI: 1538334826
Provider Name (Legal Business Name): ALTERNATIVE OPPORTUNITIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W MAIN ST
WILBURTON OK
74578-4045
US

IV. Provider business mailing address

5525 E 51ST ST SUITE 400
TULSA OK
74135-7461
US

V. Phone/Fax

Practice location:
  • Phone: 918-465-1100
  • Fax: 918-465-9020
Mailing address:
  • Phone: 918-388-6457
  • Fax: 918-388-6456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOK

VIII. Authorized Official

Name: MRS. JILL JARMAN
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 918-388-6457