Ketamine West LLC

NPI #1003529728 in Montrose, Colorado

Provider Information

NPI Number
1003529728
Entity Type
Organization
Organization Name
Ketamine West LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Dec 27, 2022
Last Updated
Sep 6, 2023

Practice Location

Address
836 S TOWNSEND AVE STE A
ZIP Code
81401-4360
Phone
(970) 200-8365

Authorized Official

Name
STRYDER RIVER REILLY
Title
NURSE PRACTITIONER
Phone
(970) 644-1279

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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