Provider Demographics
NPI:1801117080
Name:THE OPPORTUNITY COUNCIL
Entity type:Organization
Organization Name:THE OPPORTUNITY COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:DEJONG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:360-734-5121
Mailing Address - Street 1:1111 CORNWALL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5039
Mailing Address - Country:US
Mailing Address - Phone:360-734-8396
Mailing Address - Fax:360-671-5096
Practice Address - Street 1:1111 CORNWALL AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5039
Practice Address - Country:US
Practice Address - Phone:360-734-8396
Practice Address - Fax:360-671-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency