Organization
RAPTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY LYNN MULLINS (OWNER)
(346) 288-0085
Entity
Organization
Contact information
Practice address
21623 SAN MARINO DR, KATY, TX 77450-7604
(346) 288-0051
Mailing address
21623 SAN MARINO DR, KATY, TX 77450-7604
(346) 288-0051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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