Organization
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Active
Parent organization
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Other names
Actify Neurotherapies Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Authorized official
STEVEN P. LEVINE (OWNER)
(609) 651-4429
Entity
Organization
Contact information
Practice address
12 E 44TH ST FL 6, NEW YORK, NY 10017-3624
(888) 566-8774
Mailing address
800 BUNN DR STE 304, PRINCETON, NJ 08540-1968
(609) 651-4429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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