MEDICARE: A FATHER'S OPTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	177F00000X	Lodging Provider
2	251S00000X	Community/Behavioral Health Agency
3	261QM0850X	Adult Mental Health Clinic/Center
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	101YM0800X	Mental Health Counselor
6	174200000X	Meals Provider
7	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1104772235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A FATHER'S OPTION

Provider Business Mailing Address
First Line	:	4327 KINGSBURY AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-2144
Country	:	US
Telephone Number	:	567-249-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 NEBRASKA AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-4219
Country	:	US
Telephone Number	:	567-249-9888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHALISE MORRIS
Credential	:
Telephone Number	:	567-249-9888

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “A FATHER'S OPTION ” Practice Location

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