| NPI | 1578378584 |
|---|---|
| Doing Business As | SPARK WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ABIODUN BADAMOSI Program Director 757-752-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-08 |