| NPI | 1124959143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER EUGENIO Owner/Pmhnp Bc 424-373-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-07-16 |