| NPI | 1174148076 |
|---|---|
| Doing Business As | SPARK MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RALPH JOHN MASSETTI CEO 480-227-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |