Organization
SPARK WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA R HORWITZ MS, LPC, CAADC, CCS (CHIEF EXECUTIVE OFFICER)
(215) 354-7700
Entity
Organization
Contact information
Practice address
301 OXFORD VALLEY RD STE 1302A, YARDLEY, PA 19067-7706
(866) 301-6055
Mailing address
301 OXFORD VALLEY RD STE 1302A, YARDLEY, PA 19067-7706
(866) 301-6055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
09/05/2023
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