Organization
STEADFAST HEALTH PROFESSIONAL SERVICES OF OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIS STEPHEN MD (CCO)
(479) 422-1581
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD STE 106, CLEVELAND, OH 44104-3833
(866) 935-0936
(330) 319-7828
Mailing address
11201 SHAKER BLVD STE 106, CLEVELAND, OH 44104-3833
(866) 935-0936
(330) 319-7828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/11/2025
Last updated
10/07/2025
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