| NPI | 1003408857 |
|---|---|
| Other Name | THE MINNESOTA AND KETAMINE WELLNESS INSTITUTE |
| Other Name | THE MINNESOTA KETAMINE AND WELLNESS INSTITUE, P.A. |
| Entity Type | Organization |
| Authorized Contact | CHRISTENA REGENA HATCHER CFO 612-394-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-08-20 |