| NPI | 1659904803 |
|---|---|
| Doing Business As | IOWA KETAMINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIE OTTEN Revenue Cycle Director 515-710-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2025-10-05 |