Sparkles Kc LLC
NPI #1073962791 in Villa Park, California
Provider Information
- NPI Number
- 1073962791
- Entity Type
- Organization
- Organization Name
- Sparkles Kc LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 3, 2016
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 10002 BRILEY WAY
- City
- Villa Park
- State
- California
- ZIP Code
- 92861-4219
- Phone
- (949) 289-0350
Authorized Official
- Name
- MS. IZZY HIRSON
- Title
- CEO
- Phone
- (949) 289-0350
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