Opportunity Foundation Inc | |
701 8th St E Williston ND 58801-5630 | |
(701) 774-8593 | |
(701) 572-8871 |
Full Name | Opportunity Foundation Inc |
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Speciality | Community/behavioral Health |
Location | 701 8th St E, Williston, North Dakota |
Authorized Official Name and Position | Andrea J Peterson (FINANCIAL MANAGER) |
Authorized Official Contact | 7017748593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Opportunity Foundation Inc Po Box 1627 Williston ND 58802-1627 Ph: (701) 774-8593 | Opportunity Foundation Inc 701 8th St E Williston ND 58801-5630 Ph: (701) 774-8593 |
NPI Number | 1134726870 |
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Provider Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |
Certification Date | 10/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134726870 | NPI | - | NPPES |
1455749 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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