Organization
RAPHA HOUSE/RAPHA 4 KIDZ
Active
Other names
Rapha House/Rapha 4 Kidz
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA DENISE DUCKETT QMHP (CEO)
(704) 898-2618
Entity
Organization
Contact information
Practice address
543 COX RD, SUITE D-1, GASTONIA, NC 28054
(704) 460-9214
(704) 865-1354
Mailing address
543 COX RD STE C8, GASTONIA, NC 28054-0607
(704) 898-2618
(980) 251-1470
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CODE 145
FOSTER CARE LICENSING AGENCY
NC
Enumeration date
04/23/2009
Last updated
02/20/2020
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