| NPI | 1720649064 |
|---|---|
| Doing Business As | KETAMINE TREATMENT CENTERS OF AMERICA |
| Entity Type | Organization |
| Authorized Contact | MATTHEW M RHODES Member 480-676-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 111NR0400X | |
| 163WP0000X Registered Nurse, Pain Management | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-08-11 |