| NPI | 1265382345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KENNETH DICENZI Advanced Practice Provider 216-375-1011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |