Organization
NEW LIFE KETAMINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN CHANATRY LPC (PARTNER)
(937) 689-5994
Entity
Organization
Contact information
Practice address
7905 SCHATZ POINTE DR STE 100, DAYTON, OH 45459-3856
(937) 545-5994
Mailing address
7901 SCHATZ POINTE DR STE B, DAYTON, OH 45459-3824
(937) 554-5994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
04/27/2026
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