| NPI | 1992289151 |
|---|---|
| Other Name | TIFFANY SPARGO, APRN |
| Entity Type | Organization |
| Authorized Contact | TIFFANY SPARGO Ap RN 870-378-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-09-23 |