| NPI | 1730953787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED SAJID IQBAL President 888-660-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 305S00000X Point of Service | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-04-15 |