Provider Demographics
NPI:1609305069
Name:OPPORTUNITY MINISTRIES, INC.
Entity type:Organization
Organization Name:OPPORTUNITY MINISTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-255-4342
Mailing Address - Street 1:4513 MOUNTAIN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5331
Mailing Address - Country:US
Mailing Address - Phone:410-255-4342
Mailing Address - Fax:410-504-6182
Practice Address - Street 1:4513 MOUNTAIN RD STE 2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5331
Practice Address - Country:US
Practice Address - Phone:410-255-4342
Practice Address - Fax:410-504-6182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPPORTUNITY MINISTRIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD819664OtherBEACON- NON MEDICARE