Provider Demographics
NPI:1609582840
Name:RAPHA BEHAVIORAL HEALTH CARE INC.
Entity Type:Organization
Organization Name:RAPHA BEHAVIORAL HEALTH CARE INC.
Other - Org Name:RAPHA BEHAVIORAL HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:NKEMAKOLAM
Authorized Official - Last Name:ORIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:214-646-7046
Mailing Address - Street 1:15080 E BELTWOOD PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3725
Mailing Address - Country:US
Mailing Address - Phone:214-677-6119
Mailing Address - Fax:
Practice Address - Street 1:15080 E BELTWOOD PKWY STE 108
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3725
Practice Address - Country:US
Practice Address - Phone:214-677-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty