Organization · Type 2 NPI
Marcio Guzman
Adult Mental Health Clinic/Center · Fenton, MO
NPI number
1104257807
Active
Practice location
1855 Bowles Ave, Suite 210
Fenton, MO 63026-1900
Mailing address
7746 Delmar Blvd, Apt 1F
St. Louis, MO 63130-3917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 2013005503 (MO) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
About NPI 1104257807
Marcio Guzman's National Provider Identifier is 1104257807, issued on Dec 5, 2013. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Fenton, MO. The record was last updated on Dec 5, 2013.