Organization
DR. PHAETRA K. RANEY FOUNDATION , INC
Active
Other names
Damascus Landing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHAETRA RANEY (CEO)
(832) 363-7877
Entity
Organization
Contact information
Practice address
313 S 5TH ST STE 7, LAMAR, CO 81052-2755
(832) 363-7877
Mailing address
19901 SOUTHWEST FWY STE 141, SUGAR LAND, TX 77479-6538
(281) 665-7346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
04/04/2024
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