Ketamine Center Of Connecticut

LBN: Ketamine Center Llc
Ketamine Center Of Connecticut is an health care organization with primary practice located at 232 Boston Post Rd Ste 13 , Milford CT 06460-3158. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Ketamine Center Llc can be contacted via phone (203) 701-6388, or through Ang, Al Gene Ejusa via phone (860) 552-7592.

Contact Information

Primary practice address
232 Boston Post Rd Ste 13 Milford CT 06460-3158
Phone: (203) 701-6388
Fax: (203) 306-3134
Website:
Map and Directions
Authorized official contact:
Name: Ang, Al Gene Ejusa
Phone: (860) 552-7592

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1720866916
LBN Legal business name Ketamine Center Llc
DBA Doing business as Ketamine Center Of Connecticut
Authorized official Ang, Al Gene Ejusa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2023
Last updated Nov 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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