BALTIMORE SPARKS

SAN ANTONIO, TX
NPI1932944873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17012)
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
BALTIMORE SPARKS LCDC
571 SPENCER LN
SAN ANTONIO, TX 78201-2030
Phone number: 210-736-4405
Mailing Address
BALTIMORE SPARKS LCDC
571 SPENCER LN
SAN ANTONIO, TX 78201-2030
Phone number: 210-736-4405
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