Provider Demographics
NPI:1568706299
Name:OPPORTUNITIES FOR ALL, INC
Entity Type:Organization
Organization Name:OPPORTUNITIES FOR ALL, INC
Other - Org Name:OPP4ALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-394-7000
Mailing Address - Street 1:1701 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-6007
Mailing Address - Country:US
Mailing Address - Phone:609-394-7000
Mailing Address - Fax:609-394-7002
Practice Address - Street 1:1701 S BROAD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-6007
Practice Address - Country:US
Practice Address - Phone:609-394-7000
Practice Address - Fax:609-394-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicaid