Baltimore Ketamine Clinic
Baltimore Ketamine Clinic is an Infusion Therapy Clinic/Center in Sparks Glencoe, Maryland. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
909 Ridgebrook Rd Ste 202Sparks Glencoe, MD 21152-9476
Phone: (410) 870-5482
Fax: (410) 628-1212
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
Record details
| NPI number | 1972145381 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ivana Mitic — Group Owner · (713) 412-3462 |
| NPI enumerated | October 17, 2019 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 1 Texas Station Ct Ste 320, Timonium, MD 21093-8290 |