Organization
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Active
Parent organization
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Other names
Actify Neurotherapies
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Authorized official
STEVEN P. LEVINE (MANAGING MEMBER)
(609) 651-4429
Entity
Organization
Contact information
Practice address
1411 N FLAGLER DR STE 4700, WEST PALM BEACH, FL 33401-3408
(888) 566-8774
Mailing address
800 BUNN DR STE 304, PRINCETON, NJ 08540-1968
(888) 566-8774
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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