Provider Demographics
NPI:1497977672
Name:GREATER NEWBURYPORT OPPORTUNITIES
Entity Type:Organization
Organization Name:GREATER NEWBURYPORT OPPORTUNITIES
Other - Org Name:OPPORTUNITY WORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HARRIS-FALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-462-6144
Mailing Address - Street 1:10 OPPORTUNTIY WAY
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-462-6144
Mailing Address - Fax:
Practice Address - Street 1:209 REAR SUMMER STREET
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835
Practice Address - Country:US
Practice Address - Phone:978-374-5281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1312421251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1312421Medicaid