| NPI | 1861034662 |
|---|---|
| Doing Business As | JOURNEY TO WELLNESS |
| Doing Business As | KETAMINE CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M MATERI C RN A President 701-471-0081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2023-03-18 |