| NPI | 1588249320 |
|---|---|
| Doing Business As | KETAMINE WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | ANITA JERGER Executive Assistant 855-538-9355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |