Organization
SAFY OF CLEVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRVIN V GASTON LSW (INTERVENTION SPECIALIST)
(216) 295-7239
Entity
Organization
Contact information
Practice address
20600 CHAGRIN BLVD, SUITE 900, SHAKER HEIGHTS, OH 44122-5327
(216) 295-7239
Mailing address
20600 CHAGRIN BLVD, SUITE 900, SHAKER HEIGHTS, OH 44122-5327
(216) 295-7239
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
S0025611
OH
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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