Dissociative Associates, LLC
Dissociative Associates, LLC is an Infusion Therapy Clinic/Center in Lees Summit, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
817 NE Anderson LnLees Summit, MO 64064-1244
Phone: (816) 381-2050
Fax: (816) 503-8271
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
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|
Record details
| NPI number | 1316658495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Fansler — Office Manager · (816) 678-5969 |
| Other names | Ketamine Clinic Rx |
| NPI enumerated | December 8, 2022 |
| Last updated in NPPES | December 8, 2022 |
| Certification date | December 8, 2022 |
| Mailing address | 817 Ne Anderson Ln, Lees Summit, MO 64064-1244 |