Ketamine West Llc

LBN: Ketamine West Llc
Ketamine West Llc is an health care organization with primary practice located at 602 26 1/2 Rd , Grand Junction CO 81506-1905. 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 West Llc can be contacted via phone (970) 427-4000, or through Reilly, Stryder River via phone (970) 644-1279.

Contact Information

Primary practice address
602 26 1/2 Rd Grand Junction CO 81506-1905
Phone: (970) 427-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reilly, Stryder River Advanced Practice Registered Nurse (APRN)
Phone: (970) 644-1279

Health care specialties

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

Profile Details

NPI number 1477287290
LBN Legal business name Ketamine West Llc
DBA Doing business as
Authorized official Reilly, Stryder River Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2022
Last updated Dec 20th, 2022 - about 4 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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