| New Life Ketamine Clinic Llc | |
|
7905 Schatz Pointe Dr Ste 100 Dayton OH 45459-3856 | |
| (937) 545-5994 | |
| Not Available |
| Full Name | New Life Ketamine Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7905 Schatz Pointe Dr Ste 100, Dayton, Ohio |
| Authorized Official Name and Position | John E Klens (OWNER/MANAGER) |
| Authorized Official Contact | 9376895994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Ketamine Clinic Llc 7905 Schatz Pointe Dr Ste 100 Dayton OH 45459-3856 Ph: (937) 554-5994 | New Life Ketamine Clinic Llc 7905 Schatz Pointe Dr Ste 100 Dayton OH 45459-3856 Ph: (937) 545-5994 |
| NPI Number | 1407406697 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407406697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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