| NPI | 1609580430 |
|---|---|
| Doing Business As | YOUTH HEALTH CENTER SPARK |
| 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) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-10-13 |