| NPI | 1568409449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY DOZANTI Practice Administrator 216-844-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363L00000X Nurse Practitioner | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |