Provider Demographics
NPI:1568590966
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:E
Authorized Official - Last Name:HARRIS-FALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-462-6144
Mailing Address - Street 1:10 OPPORTUNITY 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:978-465-5972
Practice Address - Street 1:10 OPPORTUNITY WAY
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4043
Practice Address - Country:US
Practice Address - Phone:978-462-6144
Practice Address - Fax:978-465-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1311735Medicaid