=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326266792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW OPPORTUNITIES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2007
-----------------------------------------------------
Last Update Date | 04/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23751 HWY 30
-----------------------------------------------------
City | CARROLL
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51401-0427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-792-1344
-----------------------------------------------------
Fax | 712-792-5723
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 427
-----------------------------------------------------
City | CARROLL
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51401-0427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-792-1344
-----------------------------------------------------
Fax | 712-792-5723
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. CHAD A JENSEN
-----------------------------------------------------
Credential | MA, LMSW, ACADC
-----------------------------------------------------
Telephone | 712-792-9266
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0405X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
License Number | 1286
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------