| NPI | 1821875931 |
|---|---|
| Doing Business As | YOUTH HEALTH CENTER SPARK BCP |
| Entity Type | Organization |
| Authorized Contact | PAUL LORENZ Chief Executive Officer 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |