Provider Demographics
NPI:1154441632
Name:DEVELOPMENTAL OPPORTUNITIES
Entity Type:Organization
Organization Name:DEVELOPMENTAL OPPORTUNITIES
Other - Org Name:STARPOINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-269-2208
Mailing Address - Street 1:PO BOX 2080
Mailing Address - Street 2:700 S 8TH ST
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81215-2080
Mailing Address - Country:US
Mailing Address - Phone:719-275-1616
Mailing Address - Fax:719-275-4619
Practice Address - Street 1:700 S 8TH ST
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-4904
Practice Address - Country:US
Practice Address - Phone:719-275-1616
Practice Address - Fax:719-275-4619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09139601Medicaid
CO09000787Medicaid