Provider Demographics
NPI:1003065566
Name:OPTIONS FOR FAMILIES AND YOUTH
Entity Type:Organization
Organization Name:OPTIONS FOR FAMILIES AND YOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATESE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-267-7070
Mailing Address - Street 1:5131 W 140TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOK PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-1755
Mailing Address - Country:US
Mailing Address - Phone:216-267-7070
Mailing Address - Fax:216-267-7075
Practice Address - Street 1:5131 W 140TH ST
Practice Address - Street 2:
Practice Address - City:BROOK PARK
Practice Address - State:OH
Practice Address - Zip Code:44142-1755
Practice Address - Country:US
Practice Address - Phone:216-267-7070
Practice Address - Fax:216-267-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0629251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health