Organization
THE EUPATHEIA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN CLARK ENGEN PSYD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(912) 816-0076
Entity
Organization
Contact information
Practice address
664 SCRANTON RD STE 201, BRUNSWICK, GA 31520-1947
(912) 285-1610
(912) 285-2595
Mailing address
664 SCRANTON RD STE 201, BRUNSWICK, GA 31520-1947
(912) 285-1610
(912) 285-2595
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000577585G
—
GA
05
—
085726452A
—
GA
01
—
10032838
AMERIGROUP
GA
05
—
524588165A
—
GA
Enumeration date
04/15/2008
Last updated
05/25/2022
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