SPARK CENTER FOR PSYCHOLOGY, INC.

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Psychologist — Clinical

Code: 103TC0700X

Social Worker — Clinical

Code: 1041C0700X

Marriage & Family Therapist

Code: 106H00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X