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Organization

KETAMEND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC NICHOLAS CHRISTIE DO (OWNER/OPERATOR)
(203) 450-9116
Entity
Organization

Contact information

Practice address
6 STEEPLE TOP RD, NORWALK, CT 06853-1039
(203) 450-9116
Mailing address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/01/2025
Last updated
10/01/2025
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