=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083585137
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAIRI DBT YOUTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2025
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 516 W SHAW AVE STE 200
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93704-2515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-785-0347
-----------------------------------------------------
Fax | 559-532-0284
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 516 W SHAW AVE STE 200
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93704-2515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-785-0347
-----------------------------------------------------
Fax | 559-532-0284
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. NARINE ZILFUGHARYAN
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 559-259-4909
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------