| Organization Name: | SPARC |
| NPI Number: | 1427452630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRYSTAL HEWITT-GILL (EDUCATION SPECIALIST) |
| Mailing Address: | 3 Mercycare Ln Guilderland |
| State: | NY US |
| Postal Code: | 120843504 |
| Phone Number: | 5184526705 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2014 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 27849 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |