| NPI | 1073230124 |
|---|---|
| Former Legal Business Name | SPARROW THERAPEUTIC SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | SHAMEKA MARIA SPARROW Clinical Administrator 215-259-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |