Ketamine Rva
Ketamine Rva is a Mental Health Clinic/Center (Including Community Mental Health Center) in Henrico, Virginia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
8639 Mayland Dr Ste 102Henrico, VA 23294-4752
Phone: (804) 993-3039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1063234615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Frederick — Owner · (804) 993-3039 |
| NPI enumerated | October 25, 2024 |
| Last updated in NPPES | October 25, 2024 |
| Certification date | October 25, 2024 |
| Mailing address | 8639 Mayland Dr Ste 102, Henrico, VA 23294-4752 |
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