Basic Information
Provider Information
NPI: 1649456807
EntityType: 2
ReplacementNPI:  
OrganizationName: ALTERNATIVE OPPORTUNITIES INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: DAYSPRING COMMUNITY SERVICES
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2626 W COLLEGE RD
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658024637
CountryCode: US
TelephoneNumber: 4718698911
FaxNumber: 4178691625
Practice Location
Address1: 1025 STRAKA TER
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731392544
CountryCode: US
TelephoneNumber: 8776019227
FaxNumber: 4056040923
Other Information
ProviderEnumerationDate: 01/17/2008
LastUpdateDate: 01/17/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PEDERSON-RAMBO
AuthorizedOfficialFirstName: MORNA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR
AuthorizedOfficialTelephone: 9186390870
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM2500X  Y Ambulatory Health Care FacilitiesClinic/CenterMedical Specialty

No ID Information.


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