# ARCHANGEL RAPHAEL MINISTRY CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ARCHANGEL RAPHAEL MINISTRY CENTER INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720847726
- **Authorized official:** FR. JOACHIM BOUTROS (TRUSTEE)
- **Authorized official phone:** (918) 704-8881

## Contact information

- **Practice address:** 19800 ALLAIRE LN, FORT MYERS, FL 33908-4828
- **Practice address phone:** (918) 704-8881
- **Mailing address:** 19800 ALLAIRE LN, FORT MYERS, FL 33908-4828
- **Mailing address phone:** (918) 704-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 09/04/2025