| NPI | 1689414757 |
|---|---|
| Doing Business As | ATLANTA KETAMINE CENTER |
| Entity Type | Organization |
| Authorized Contact | ZACHARY DAVID LAZARUS Co Owner 404-709-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-29 |