Whalio Doctors

NPI 1093651150

12 and Beyond Mo LLC

Organisation Substance Abuse Rehabilitation Facility Saint Louis, MO

Practice location

Address
4700 Hampton Ave, Saint Louis, MO 63109-2718
Phone
(602) 816-9421
Fax
(954) 301-8110

Authorised official

Name
Peter Gifford
Title
Chief Executive Officer
Phone
(602) 816-9421

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1093651150
Entity type
Organization
NPI issued
28 Apr 2026
Record last updated
28 Apr 2026

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.