Organization
FOREVER YOUNG NON PROFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TASHA GATSON (EXECUTIVE)
(216) 235-3473
Entity
Organization
Contact information
Practice address
4911 E 106TH ST, CLEVELAND, OH 44125-2203
(216) 235-3473
Mailing address
3852 GROSVENOR RD, SOUTH EUCLID, OH 44118-2314
(216) 235-3473
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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