| NPI | 1548047863 |
|---|---|
| Doing Business As | YOUTH HEALTH CENTER SPARK HAP |
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |