| NPI | 1740066216 |
|---|---|
| Doing Business As | KETAMINE WELLNESS INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | BILAL LATEEF Medical Director 919-943-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-03-22 |