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 |