# FOREVER YOUNG NON PROFIT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447055934
- **Authorized official:** MISS TASHA GATSON (EXECUTIVE)
- **Authorized official phone:** (216) 235-3473

## Contact information

- **Practice address:** 4911 E 106TH ST, CLEVELAND, OH 44125-2203
- **Practice address phone:** (216) 235-3473
- **Mailing address:** 3852 GROSVENOR RD, SOUTH EUCLID, OH 44118-2314
- **Mailing address phone:** (216) 235-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 02/18/2025