| NPI | 1235686494 |
|---|---|
| Doing Business As | SOUTH COAST TMS AND KETAMINE |
| Entity Type | Organization |
| Authorized Contact | DREW BELNAP President 760-331-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA A107743) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A107743) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-01-11 |