Organization
OPPORTUNITY FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA J PETERSON (FINANCIAL MANAGER)
(701) 774-8593
Entity
Organization
Contact information
Practice address
612 E BROADWAY, WILLISTON, ND 58801-6104
(701) 774-8593
(701) 572-8871
Mailing address
PO BOX 1627, WILLISTON, ND 58802-1627
(701) 774-8593
(701) 572-8871
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456397
—
ND
Enumeration date
11/25/2020
Last updated
11/30/2020
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