Individual
CALVIN AKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4432 W BELLE PL, SAINT LOUIS, MO 63108-2617
(314) 652-8908
(314) 652-8819
Mailing address
4432 W BELLE PL, SAINT LOUIS, MO 63108-2617
(314) 652-8908
(314) 652-8819
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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