Organization
KHARIS RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVONA RENEE ANDERSON MD (CEO)
(313) 585-8659
Entity
Organization
Contact information
Practice address
18077 RIVER RD STE 204B, NOBLESVILLE, IN 46062-8334
(765) 577-3175
(765) 577-3175
Mailing address
1412 N DELPHOS ST, KOKOMO, IN 46901-2565
(313) 585-8659
(765) 577-3175
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
05/13/2025
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