Provider Demographics
NPI:1306393764
Name:SAFY
Entity Type:Organization
Organization Name:SAFY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DRAGOLICH
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:440-527-4893
Mailing Address - Street 1:20600 CHAGRIN BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5327
Mailing Address - Country:US
Mailing Address - Phone:216-295-7239
Mailing Address - Fax:
Practice Address - Street 1:20600 CHAGRIN BLVD, STE 900
Practice Address - Street 2:
Practice Address - City:SHAKER
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-295-7239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management