Organization
SPARK HEALTHCARE LLC
Active
Organization
SPARK HEALTHCARE LLC
Active
Other names
Spark Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH JOHN MASSETTI JR. (CEO)
(480) 227-0630
Entity
Organization
Contact information
Practice address
8906 NORTH 80TH PLACE, SCOTTSDALE, AZ 85258-2132
(602) 962-6515
(602) 962-6515
Mailing address
8390 E VIA DE VENTURA STE F110-301, SCOTTSDALE, AZ 85258-3188
(602) 962-6515
(602) 962-6516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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