| NPI | 1952953101 |
|---|---|
| Doing Business As | RESTORATIVE HEALTH PRIMARY CARE & KETAMINE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BEESLEY Partner 385-449-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |