Organization · Type 2 NPI

Sparkles KC LLC

Substance Abuse Rehabilitation Facility · Villa Park, CA

NPI number 1073962791 Active

Practice location

10002 Briley Way
Villa Park, CA 92861-4219

Mailing address

8 Cheshire Ct
Newport Beach, CA 92660-4210

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1073962791

Sparkles KC LLC's National Provider Identifier is 1073962791, issued on Jun 3, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Villa Park, CA. The record was last updated on Jun 3, 2016.