Provider Demographics
NPI:1053155887
Name:KEE CHA-E-NAR CORPORATION
Entity type:Organization
Organization Name:KEE CHA-E-NAR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABINANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-482-1350
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:KLAMATH
Mailing Address - State:CA
Mailing Address - Zip Code:95548-1027
Mailing Address - Country:US
Mailing Address - Phone:707-482-1350
Mailing Address - Fax:
Practice Address - Street 1:190 KLAMATH BLVD.
Practice Address - Street 2:
Practice Address - City:KLAMATH
Practice Address - State:CA
Practice Address - Zip Code:95548-1027
Practice Address - Country:US
Practice Address - Phone:707-482-1350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility