Baltimore Ketamine Clinic
Baltimore Ketamine Clinic is an Infusion Therapy Clinic/Center in Sparks, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
909 Ridgebrook Rd Ste 202Sparks, MD 21152-9476
Phone: (410) 870-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|
Record details
| NPI number | 1508580275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ivana Mitic — Ceo · (410) 870-5482 |
| NPI enumerated | September 27, 2022 |
| Last updated in NPPES | September 27, 2022 |
| Certification date | September 21, 2022 |
| Mailing address | 909 Ridgebrook Rd Ste 202, Sparks, MD 21152-9476 |