NPI 1093651150
12 and Beyond Mo LLC
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
Community/Behavioral Health Agency
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.