NPI | 1235846007 |
---|---|
Doing Business As | INNER HEALING KETAMINE THERAPY |
Entity Type | Organization |
Authorized Contact | MONIQUE CHEN Owner/Operator 210-253-0576 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-11-01 |
Last Update Date | 2022-11-10 |