Organization
KHEPERA HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKLOS BAER (EXECUTIVE DIRECTOR)
(805) 653-2596
Entity
Organization
Contact information
Practice address
108 W HARRISON AVE, VENTURA, CA 93001-1822
(805) 653-2596
(805) 648-9762
Mailing address
330 N VENTURA AVE, VENTURA, CA 93001-1937
(805) 653-2596
(806) 648-9762
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
560004DN
CA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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