Organization
SPARK WELLNESS & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJIB ISSE (OWNER)
(612) 245-0436
Entity
Organization
Contact information
Practice address
6625 FOUNDERS PKWY, BROOKLYN PARK, MN 55445-1666
(612) 245-0436
Mailing address
6625 FOUNDERS PKWY, BROOKLYN PARK, MN 55445-1666
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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