Whalio Doctors

NPI 1053021865

Concordance Academy of Leadership

Organisation Case Management Agency Saint Louis, MO

Practice location

Address
1845 Borman CT, Saint Louis, MO 63146-4126
Phone
(314) 396-6001
Mailing address
6 Cityplace Dr STE 522, Saint Louis, MO 63141-7209

Authorised official

Name
Clinton Lee Holmes
Title
Chief Administrative Officer
Phone
(314) 396-6004

Registered specialties (4)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X

Registry record

NPI
1053021865
Entity type
Organization
NPI issued
2 Dec 2022
Record last updated
2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.