Provider Demographics
NPI:1811192032
Name:CLEVELAND FAMILY SERVICES INC.
Entity Type:Organization
Organization Name:CLEVELAND FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL-GASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-300-9032
Mailing Address - Street 1:1375 LENOIR RHYNE BLVD SE
Mailing Address - Street 2:PIEDMONT CENTER SUITE 124
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5171
Mailing Address - Country:US
Mailing Address - Phone:828-261-2090
Mailing Address - Fax:
Practice Address - Street 1:1375 LENOIR RHYNE BLVD SE
Practice Address - Street 2:PIEDMONT CENTER SUITE 124
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5171
Practice Address - Country:US
Practice Address - Phone:828-261-2090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health