| NPI | 1275411928 |
|---|---|
| Other Name | ROCHELLE SPARKS |
| Entity Type | Organization |
| Authorized Contact | ROCHELLE NICOLE SPARKS Owner 220-242-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |