NPI Code Details Logo

NPI 1710013552

NPI 1710013552 : ALTERNATIVE OPPORTUNITIES INC : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710013552
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALTERNATIVE OPPORTUNITIES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2007
-----------------------------------------------------
    Last Update Date     |    05/30/2008
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5525 E 51ST ST SUITE #400
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74135-7461
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-712-0859
-----------------------------------------------------
    Fax                  |    918-388-6456
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    500 N WALKER AVE SUITE 190 & 200
-----------------------------------------------------
    City                 |    OKLAHOMA CITY
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    73102-1619
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    405-702-9721
-----------------------------------------------------
    Fax                  |    405-702-9720
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |    MRS. MORNA  PEDERSON-RAMBO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    405-702-9721
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM0855X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.