Organization
CENTRE YOU KETAMINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BELL (MANAGER)
(844) 236-8738
Entity
Organization
Contact information
Practice address
491 N FREEDOM BLVD, PROVO, UT 84601-2824
(844) 236-8738
Mailing address
933 E 1910 S STE 102, PROVO, UT 84606-5562
(844) 236-8738
(833) 671-0458
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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