Provider Demographics
NPI:1295205227
Name:THE OPPORTUNITY PROGRAM INC
Entity Type:Organization
Organization Name:THE OPPORTUNITY PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:LUCIE
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-860-1463
Mailing Address - Street 1:1280 LANTANA RD STE 5
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1543
Mailing Address - Country:US
Mailing Address - Phone:561-860-1463
Mailing Address - Fax:561-828-7961
Practice Address - Street 1:1280 LANTANA RD STE 5
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-1543
Practice Address - Country:US
Practice Address - Phone:561-860-1463
Practice Address - Fax:561-828-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management