Organization
CONCORDANCE ACADEMY OF LEADERSHIP
Active
Other names
Concordance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON LEE HOLMES JR. (CHIEF ADMINISTRATIVE OFFICER)
(314) 396-6004
Entity
Organization
Contact information
Practice address
1845 BORMAN CT, SAINT LOUIS, MO 63146-4126
(314) 396-6001
Mailing address
6 CITYPLACE DR STE 522, SAINT LOUIS, MO 63141-7209
(314) 396-6004
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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