Bold Spark, Inc.
NPI #1043072218 in Streamwood, Illinois
Provider Information
- NPI Number
- 1043072218
- Entity Type
- Organization
- Organization Name
- Bold Spark, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOLD SPARK, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 24, 2024
- Last Updated
- May 22, 2024
Practice Location
- Address
- 820 S BARTLETT RD STE 106B
- City
- Streamwood
- State
- Illinois
- ZIP Code
- 60107-2407
- Phone
- (224) 318-7554
Authorized Official
- Name
- KAREN V. LIEBOLD
- Title
- OWNER
- Phone
- (630) 329-6709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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