| NPI | 1912543968 |
|---|---|
| Doing Business As | RADIANCE KETAMINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREG JONES Clinic Director 775-217-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-08-27 |