OrganizationActive
Ketamine Infusion Centers, Inc
NPI 1740790823 · Infusion Therapy Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1740790823
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sonny Diaz, Director(602) 344-9850
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
3724 N 3rd St Ste 201
Phoenix, AZ 85012-2034
Phone: (480) 331-4222
Fax: (480) 404-9649
Approximate (ZIP-level) locationGet directions
Mailing address
3724 N 3rd St Ste 201
Phoenix, AZ 85012-2034
Other names (DBA / former)
- Doing business as
- Ketamine Infusion Centers
Registry dates
- Enumerated
- 2017-10-03
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.