| 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 |