| Ketamine Treatment Centers Of Princeton, Llc | |
|
1122 Kenilworth Dr Ste 418 Towson MD 21204-2148 | |
| (888) 566-8774 | |
| Not Available |
| Full Name | Ketamine Treatment Centers Of Princeton, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1122 Kenilworth Dr Ste 418, Towson, Maryland |
| Authorized Official Name and Position | Steven P. Levine (MANAGING MEMBER) |
| Authorized Official Contact | 6096514429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Treatment Centers Of Princeton, Llc 800 Bunn Dr Ste 304 Princeton NJ 08540-1968 Ph: (888) 566-8774 | Ketamine Treatment Centers Of Princeton, Llc 1122 Kenilworth Dr Ste 418 Towson MD 21204-2148 Ph: (888) 566-8774 |
| NPI Number | 1174169478 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174169478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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