Organization · Type 2 NPI

Ketamine Rva

Mental Health Clinic/Center (Including Community Mental Health Center) · Henrico, VA

NPI number 1063234615 Active

Practice location

8639 Mayland Dr Ste 102
Henrico, VA 23294-4752

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

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About NPI 1063234615

Ketamine Rva's National Provider Identifier is 1063234615, issued on Oct 25, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Henrico, VA. The record was last updated on Oct 25, 2024.