Organization · Type 2 NPI

Bold Spark, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Streamwood, IL

NPI number 1043072218 Active

Practice location

820 S Bartlett Rd Ste 106B
Streamwood, IL 60107-2407

Mailing address

218 Gingerbrook Ln
Bartlett, IL 60103-4624

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1043072218

Bold Spark, Inc.'s National Provider Identifier is 1043072218, issued on Jan 24, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Streamwood, IL. The record was last updated on May 22, 2024.