Ketamine Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Milford, Connecticut
1720866916- Practice location
- 232 Boston Post RD Ste 13, Milford, CT 06460-3158
- Phone
- 203-701-6388
- Fax
- 203-306-3134
- Last updated
- November 30, 2023
Ketamine Center LLC is a healthcare organization based in Milford, CT. Ketamine Center LLC practices in Milford, CT. The NPI Number for Ketamine Center LLC is 1720866916. The current practice location address for Ketamine Center LLC is 232 Boston Post RD Ste 13, Milford, CT 06460-3158 and can be reached out via phone at 203-701-6388 and via fax at 203-306-3134.
Provider Profile Details
- NPI Number
- 1720866916
- Provider Name
- Ketamine Center LLC
- Provider Entity Type
- Organization
- Address
- 232 Boston Post RD Ste 13, Milford, CT 06460-3158
- Phone Number
- 203-701-6388
- Fax Number
- 203-306-3134
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Al Gene Ejusa Ang · Office Manager · 860-552-7592
- Other Names
- Ketamine Center Of Connecticut (Doing Business As)
- Provider Enumeration Date
- September 19, 2023
- Last Update Date
- November 30, 2023
- Certification Date
- November 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 232 Boston Post RD Ste 13
Milford, CT 06460-3158 - City
- Milford
- State
- Connecticut
- Zip
- 06460-3158
- Phone Number
- 203-701-6388
- Fax Number
- 203-306-3134
Provider Business Mailing Address Details
- Address
- 232 Boston Post RD Ste 13
Milford, CT 06460-3158 - City
- Milford
- State
- CT
- Zip
- 06460-3158
- Phone Number
- 203-701-6388
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ketamine Center LLC?
The NPI number of Ketamine Center LLC is 1720866916. It was assigned on September 19, 2023 and is currently active in the NPPES registry.
What is the specialty of Ketamine Center LLC?
Ketamine Center LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Ketamine Center LLC practice?
The practice location is 232 Boston Post RD Ste 13, Milford, CT 06460-3158. The office can be reached at 203-701-6388 (phone) or 203-306-3134 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720866916 directly on the NPPES registry website.