Organization · Type 2 NPI
Ketamine Care Mental Health Counseling LLC
Adult Mental Health Clinic/Center · Fair Lawn, NJ
NPI number
1093532608
Active
Practice location
8-02 Plymouth Dr
Fair Lawn, NJ 07410-1641
Mailing address
250 Pehle Ave Ste 200
Saddle Brook, NJ 07663-5835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1093532608
Ketamine Care Mental Health Counseling LLC's National Provider Identifier is 1093532608, issued on Sep 24, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Fair Lawn, NJ. The record was last updated on Sep 24, 2024.