| NPI | 1194404319 |
|---|---|
| Other Name | FUNDAMENTAL BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOELLEN JUENGER Fnp Bc, Pmhnp Bc 618-401-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-01-09 |