| Ketamine For Depression Salt Lake City Llc | |
|
201 E 5900 S Ste 200 Murray UT 84107-5432 | |
| (385) 474-6946 | |
| (385) 355-2782 |
| Full Name | Ketamine For Depression Salt Lake City Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 201 E 5900 S Ste 200, Murray, Utah |
| Authorized Official Name and Position | Nicolas Salomon (DIRECTOR) |
| Authorized Official Contact | 3854746946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine For Depression Salt Lake City Llc 201 E 5900 S Ste 200 Murray UT 84107-5432 Ph: (385) 474-6946 | Ketamine For Depression Salt Lake City Llc 201 E 5900 S Ste 200 Murray UT 84107-5432 Ph: (385) 474-6946 |
| NPI Number | 1477362465 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477362465 | NPI | - | NPPES |
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