NPI | 1366261588 |
---|---|
Doing Business As | ATG PSYCH |
Entity Type | Organization |
Authorized Contact | ASHLEY ANN TOTTEN-GILBERT Ap RN, Cnp 918-497-8138 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-10-04 |
Last Update Date | 2024-10-04 |