| NPI | 1477935369 |
|---|---|
| Doing Business As | KETAMINE WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | ANITA JERGER Executive Assistant 855-538-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-08-21 |