Organization
OPTIM KETAMINE CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER S RAY MD (DIRECTOR)
(623) 293-3985
Entity
Organization
Contact information
Practice address
10255 N 32ND ST STE B, PHOENIX, AZ 85028-3822
(928) 851-3733
Mailing address
20403 N LAKE PLEASANT RD # 117-480, PEORIA, AZ 85382-9702
(928) 851-3733
(888) 908-3894
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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