2ND Genesis Foundation
Organization Active NPI Community/Behavioral Health Agency · Saint Louis, MO
NPI 1184423972 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1184423972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 2ND GENESIS FOUNDATION
- Practice address
- 222 S Meramec Ave Ste 202-1126
Saint Louis, MO 63105-1805 - Phone
- (844) 524-0234
- NPI assigned
- Mar 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Calvin Spinks, MA ED.D
- Title
- Executive Director
- Phone
- (314) 482-4993
Practitioners 1
-
Calvin E. Spinks Sr., ED.D
National Provider Directory
Locations
222 S Meramec Ave
Ste 2021126
Saint Louis, MO 63105
Phone (844) 524-0234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
222 S Meramec Ave Ste 202-1126
Saint Louis, MO 63105-1805
Mailing address
222 S Meramec Ave Ste 202-1126
Saint Louis, MO 63105-1805
Phone (844) 524-0234
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.