NPI 1528429917

Spark

Organisation Community/Behavioral Health Agency Laramie, WY

Practice location

Address: 903 S 9th Street, Laramie, WY 82070
Phone: (307) 399-2880

Authorised official

Name: Gina Sigel
Title: Owner
Phone: (307) 399-2880

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LPC-1074 (WY)

Other Community/Behavioral Health providers in Wyoming →

Registry record

NPI: 1528429917
Entity type: Organization
NPI issued: 11 Mar 2016
Record last updated: 11 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.