| The Sparc Foundation, Inc. | |
|
225 E Chestnut St Asheville NC 28801-2577 | |
| (828) 552-3771 | |
| (828) 319-2812 |
| Full Name | The Sparc Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 225 E Chestnut St, Asheville, North Carolina |
| Authorized Official Name and Position | Jackie Latek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2855237718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sparc Foundation, Inc. 225 E Chestnut St Ste 100 Asheville NC 28801-2582 Ph: (828) 552-3771 | The Sparc Foundation, Inc. 225 E Chestnut St Asheville NC 28801-2577 Ph: (828) 552-3771 |
| NPI Number | 1992234660 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992234660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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