Organization
SPARK TO RECOVERY INC
Active
Other names
Concise Detox Center
Organization subpart
No
Provider details
NPI number
Authorized official
HALA AZIZ (AUTHORIZED OFFICIAL)
(949) 701-9271
Entity
Organization
Contact information
Practice address
5449 WOODMAN AVE, SHERMAN OAKS, CA 91401-5832
(818) 818-0202
Mailing address
5449 WOODMAN AVE, SHERMAN OAKS, CA 91401-5832
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
09/02/2025
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