Provider Demographics
NPI:1710013552
Name:ALTERNATIVE OPPORTUNITIES INC
Entity Type:Organization
Organization Name:ALTERNATIVE OPPORTUNITIES INC
Other - Org Name:DAYSPRING COMMUNITY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDERSON-RAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-702-9721
Mailing Address - Street 1:500 N WALKER AVE
Mailing Address - Street 2:SUITE 190 & 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1619
Mailing Address - Country:US
Mailing Address - Phone:405-702-9721
Mailing Address - Fax:405-702-9720
Practice Address - Street 1:5525 E 51ST ST
Practice Address - Street 2:SUITE #400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7461
Practice Address - Country:US
Practice Address - Phone:918-712-0859
Practice Address - Fax:918-388-6456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100746170AMedicaid