Organization · Type 2 NPI

Centre You Ketamine LLC

Clinic/Center · Provo, UT

NPI number 1174307615 Active

Practice location

491 N Freedom Blvd
Provo, UT 84601-2824

Call (844) 236-8738 Map

Mailing address

933 E 1910 S Ste 102
Provo, UT 84606-5562

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1174307615

Centre You Ketamine LLC's National Provider Identifier is 1174307615, issued on Aug 24, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Provo, UT. The record was last updated on Aug 24, 2023.