Provider Demographics
NPI:1972639714
Name:ALTERNATIVE OPPORTUNITIES INC.
Entity type:Organization
Organization Name:ALTERNATIVE OPPORTUNITIES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDERSON-RAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-702-9721
Mailing Address - Street 1:500 N WALKER AVE
Mailing Address - Street 2:SUITE 190 & 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1619
Mailing Address - Country:US
Mailing Address - Phone:405-702-9721
Mailing Address - Fax:405-702-9720
Practice Address - Street 1:1105 W MAIN ST
Practice Address - Street 2:SUITE #1
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4563
Practice Address - Country:US
Practice Address - Phone:580-255-4323
Practice Address - Fax:580-470-9981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1007461070CMedicaid