NPI | 1194367755 |
---|---|
Doing Business As | KLARITY KETAMINE WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | MELISSA LYNN REED Owner 843-822-7404 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2019-10-15 |
Last Update Date | 2024-05-23 |