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Organization
GADDIS SPORTS NETWORK, INC
Active
Organization
GADDIS SPORTS NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONTE GADDIS (FOUNDER)
(216) 502-9620
Entity
Organization
Contact information
Practice address
14121 REXWOOD AVE, CLEVELAND, OH 44105-6427
(216) 502-9620
Mailing address
14121 REXWOOD AVE, CLEVELAND, OH 44105-6427
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NULL
171W00000X
Contractor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/30/2025
Last updated
10/02/2025
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