| Organization Name: | SPARC |
| NPI Number: | 1194077180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REGINA M. DOAK (CHEMICAL ADDICTION COUNSELOR) |
| Mailing Address: | 125 High Rock Ave Saratoga Spgs |
| State: | NY US |
| Postal Code: | 128662307 |
| Phone Number: | 5188856884 |
| Fax Number: | 5188850077 |
| NPI Enumeration Date: | 10/15/2012 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | 130911430 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |