| NPI | 1215568340 |
|---|---|
| Doing Business As | COMPLETE KETAMINE & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | AMY WERTENBERGER Clinical Director 734-931-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |