Sparc

NPI #1427452630 in Guilderland, New York

Provider Information

NPI Number: 1427452630
Entity Type: Organization
Organization Name: Sparc
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 3 MERCYCARE LN
City: Guilderland
State: New York
ZIP Code: 12084-3504
Phone: (518) 452-6705

Authorized Official

Name: CRYSTAL HEWITT-GILL, MA
Title: EDUCATION SPECIALIST
Phone: (518) 452-6705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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