| Opportunity Foundation Inc | |
|
1814 21st Ave W Williston ND 58801-6523 | |
| (701) 572-8593 | |
| (701) 572-8871 |
| Full Name | Opportunity Foundation Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1814 21st Ave W, 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 |
|---|---|
| Opportunity Foundation Inc Po Box 1627 Williston ND 58802-1627 Ph: (701) 774-8593 | Opportunity Foundation Inc 1814 21st Ave W Williston ND 58801-6523 Ph: (701) 572-8593 |
| NPI Number | 1780281048 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780281048 | NPI | - | NPPES |
| 1455750 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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