Organization
KETAMINE CENTER LLC
Active
Other names
Ketamine Center of Connecticut
Organization subpart
No
Provider details
NPI number
Authorized official
AL GENE EJUSA ANG (OFFICE MANAGER)
(860) 552-7592
Entity
Organization
Contact information
Practice address
232 BOSTON POST RD STE 13, MILFORD, CT 06460-3158
(203) 701-6388
(203) 306-3134
Mailing address
232 BOSTON POST RD STE 13, MILFORD, CT 06460-3158
(203) 701-6388
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
11/30/2023
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