Organization · Type 2 NPI
Dr. Phaetra K. Raney Foundation , Inc
Substance Abuse Rehabilitation Facility · Lamar, CO
NPI number
1225718307
Active
Practice location
313 S 5th St Ste 7
Lamar, CO 81052-2755
Mailing address
19901 Southwest Fwy Ste 141
Sugar Land, TX 77479-6538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3 other providers at this address
About NPI 1225718307
Dr. Phaetra K. Raney Foundation , Inc's National Provider Identifier is 1225718307, issued on Jul 24, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lamar, CO. The record was last updated on Apr 4, 2024.