Organization
KETAMINE CARE MENTAL HEALTH COUNSELING LLC
Active
Other names
Katamine Care Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ORLY BENTATA GOLDENBERG LMHC (CEO)
(718) 687-7924
Entity
Organization
Contact information
Practice address
8-02 PLYMOUTH DR, FAIR LAWN, NJ 07410-1641
(718) 687-7924
Mailing address
250 PEHLE AVE STE 200, SADDLE BROOK, NJ 07663-5835
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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