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Organization
SPARK WELLNESS
Active
Organization
SPARK WELLNESS
Active
Other names
SPARK WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN BADAMOSI (PROGRAM DIRECTOR)
(757) 752-3839
Entity
Organization
Contact information
Practice address
2988 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3429
(757) 752-3839
Mailing address
2988 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3429
(757) 752-3839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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