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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