| NPI | 1760204473 |
|---|---|
| Doing Business As | THRIVE KETAMINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAIMIE DIRKS Co Owner 970-430-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-10-03 |