| NPI | 1043037120 |
|---|---|
| Doing Business As | SEATTLE KETAMINE |
| Doing Business As | LIGHTHOUSE INFUSIONS |
| Entity Type | Organization |
| Authorized Contact | LIANA REN Owner / Medical Director 425-835-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |