OrganizationActive
Independent Opportunities, Inc.
NPI 1114042587 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tulsa, OK
Provider details
- NPI number
- 1114042587
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- E. Jarman, Executive Director(918) 744-5067
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
6202 S Lewis Ave Ste P
Tulsa, OK 74136-1064
Phone: (918) 744-5076
Approximate (ZIP-level) locationGet directions
Mailing address
6202 S Lewis Ave Ste P
Tulsa, OK 74136-1064
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.