Ketamine Psycholytic Therapy LLC
NPI #1972261824 in Sedona, Arizona
Provider Information
- NPI Number
- 1972261824
- Entity Type
- Organization
- Organization Name
- Ketamine Psycholytic Therapy LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 7, 2021
- Last Updated
- Mar 8, 2022
Practice Location
Authorized Official
- Name
- CRYSTAL CUNNINGHAM, MD
- Title
- OWNER
- Phone
- (610) 730-9097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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