# GADDIS SPORTS NETWORK, INC

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

## Provider details

- **NPI number:** 1730053299
- **Authorized official:** MR. LAMONTE GADDIS (FOUNDER)
- **Authorized official phone:** (216) 502-9620

## Contact information

- **Practice address:** 14121 REXWOOD AVE, CLEVELAND, OH 44105-6427
- **Practice address phone:** (216) 502-9620
- **Mailing address:** 14121 REXWOOD AVE, CLEVELAND, OH 44105-6427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 10/02/2025