| NPI | 1790423218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SHARAF BEG Owner/Therapist 551-580-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-05-17 |