OrganizationActive
Spark Recovery LLC
NPI 1881316461 · Substance Use Disorder Rehabilitation Clinic/Center · Saint Paul, MN
Provider details
- NPI number
- 1881316461
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hanad Mohamed, Owner(612) 702-9499
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2375 University Ave W Ste 200
Saint Paul, MN 55114-1678
Phone: (612) 702-9499
Approximate (ZIP-level) locationGet directions
Mailing address
2375 University Ave W Ste 200
Saint Paul, MN 55114-1678
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.