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SPARKS RECOVERY NETWORK LLC NPI 1780324053


NPI Information

NPI: 1780324053
Provider Name: SPARKS RECOVERY NETWORK, LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
218 E LEXINGTON ST STE 501
BALTIMORE, MD
ZIP 21202
Phone: (443) 712-6672
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SPARKS RECOVERY NETWORK, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SPARKS RECOVERY NETWORK, LLC NPI is 1780324053. The provider is registered as an organization entity type.

The provider's business location address is:

218 E LEXINGTON ST STE 501
BALTIMORE, MD
ZIP 21202-531
Phone: (443) 712-6672

The provider's authorized official is Bitalo Isaac .
The authorized official title is Ceo/founder and has the following contact phone number (443) 783-2712.

The enumeration date for this NPI number is 4/1/2022 and was last updated on 6/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3324500000XSubstance Abuse Rehabilitation FacilityNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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