Organization · Type 2 NPI
Spark Recovery LLC
Substance Use Disorder Rehabilitation Clinic/Center · St. Paul, MN
NPI number
1881316461
Active
Practice location
2375 University Ave W Ste 200
St. Paul, MN 55114-1678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1881316461
Spark Recovery LLC's National Provider Identifier is 1881316461, issued on Sep 12, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in St. Paul, MN. The record was last updated on Sep 12, 2022.