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 Chiropractor, Rehabilitation | |
163WP0000X Registered Nurse, Pain Management | |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-08-11 |