| NPI | 1740790823 |
|---|---|
| Doing Business As | KETAMINE INFUSION CENTERS |
| Entity Type | Organization |
| Authorized Contact | SONNY DIAZ Director 602-344-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-07-30 |