Provider Demographics
NPI:1982216966
Name:OPTIMAL RELATIONSHIPS FOR WOMEN AND YOUTHS INC
Entity Type:Organization
Organization Name:OPTIMAL RELATIONSHIPS FOR WOMEN AND YOUTHS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARISTILDE
Authorized Official - Suffix:
Authorized Official - Credentials:CCTP
Authorized Official - Phone:508-644-0050
Mailing Address - Street 1:425 PLEASANT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2533
Mailing Address - Country:US
Mailing Address - Phone:508-644-0050
Mailing Address - Fax:508-644-0537
Practice Address - Street 1:425 PLEASANT ST STE 102
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2533
Practice Address - Country:US
Practice Address - Phone:508-644-0050
Practice Address - Fax:508-644-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty