Sparc

NPI #1093903130 in Albany, New York

Provider Information

NPI Number
1093903130
Entity Type
Organization
Organization Name
Sparc
Subpart
Yes (part of a larger organization)
Parent Organization
ST PETERS HOSPITAL
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Enumeration Date
Oct 12, 2007
Last Updated
Oct 12, 2007

Practice Location

Address
845 CENTRAL AVE
City
Albany
ZIP Code
12206-1514
Phone
(518) 482-2455

Authorized Official

Name
STEVE BOYLE
Title
CEO
Phone
(515) 525-1550

Specialties & Taxonomy Codes

Specialty
Rehabilitation, Substance Use Disorder Unit

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