Provider Demographics
NPI:1972647717
Name:MALTA OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:MALTA OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EX. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVRIVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-654-2582
Mailing Address - Street 1:11 S 3RD ST EAST
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:MT
Mailing Address - Zip Code:59538
Mailing Address - Country:US
Mailing Address - Phone:406-654-2582
Mailing Address - Fax:406-654-2572
Practice Address - Street 1:11 S 3RD ST EAST
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:MT
Practice Address - Zip Code:59538
Practice Address - Country:US
Practice Address - Phone:406-654-2582
Practice Address - Fax:406-654-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251C00000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities