Organization
CONCORDANCE ACADEMY OF LEADERSHIP
Active
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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