OPPORTUNITY FOUNDATION INC
NPI 1811640808
Clinic/Center - Adolescent and Children Mental Health in Williston, ND

Active since January 31, 2022
612 E BROADWAY, WILLISTON, ND 58801(701) 774-8593(701) 572-8871 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Opportunity Foundation Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPPORTUNITY FOUNDATION INC (NPI 1811640808) is a healthcare organization registered as an adolescent and children mental health in Williston, North Dakota and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Stanley and lists Andrea J Peterson, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1811640808
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameOPPORTUNITY FOUNDATION INC
Location Address612 E BROADWAYWilliston, ND 58801-6104
Mailing AddressPo Box 1627Williston, ND 58802-1627 · (701) 774-8593
Fax(701) 572-8871
Organization SubpartNo
Authorized OfficialAndrea J PetersonFinancial Manager · (701) 774-8593
Enumeration DateJanuary 31, 2022
NPPES CertifiedOctober 6, 2020
NPI 1811640808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

612 E BROADWAY, Williston, ND 58801

Secondary Practice Location 1

Location 115 1st StreetStanley, ND 58784 · Phone (701) 628-2990 ext. 221 · Fax (701) 572-8871

Other Identifiers 1

Medicaid1455750ND

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
612 E BROADWAY
WILLISTON, ND 58801
Early Intervention Provider Agency
612 E BROADWAY
WILLISTON, ND 58801
Point of Service
612 E BROADWAY
WILLISTON, ND 58801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Opportunity Foundation Inc's NPI number?

The NPI number for Opportunity Foundation Inc is 1811640808. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Opportunity Foundation Inc located?

Opportunity Foundation Inc is located at 612 E Broadway, Williston, ND 58801. The listed phone number is (701) 774-8593.

What is Opportunity Foundation Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Opportunity Foundation Inc was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.