| NPI | 1376359695 |
|---|---|
| Doing Business As | SPARK BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | TIMNIT YIKEALO Co CEO 971-228-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-08-05 |