Provider Demographics
NPI:1013503564
Name:RAPHA MINISTRIES
Entity Type:Organization
Organization Name:RAPHA MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DR. OLUCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTI
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:713-459-7819
Mailing Address - Street 1:9226 PURSTON CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-8070
Mailing Address - Country:US
Mailing Address - Phone:713-459-7819
Mailing Address - Fax:
Practice Address - Street 1:15136 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3104
Practice Address - Country:US
Practice Address - Phone:713-459-7819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health