| NPI | 1710341581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M FESLER Therapist 314-686-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2014001280) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |