Provider Demographics
NPI:1689052672
Name:RAPHA CENTERS LLC
Entity Type:Organization
Organization Name:RAPHA CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-829-5700
Mailing Address - Street 1:405 STEAM PLANT RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3027
Mailing Address - Country:US
Mailing Address - Phone:615-829-5700
Mailing Address - Fax:615-661-4357
Practice Address - Street 1:405 STEAM PLANT RD
Practice Address - Street 2:STE. 200
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3027
Practice Address - Country:US
Practice Address - Phone:615-829-5700
Practice Address - Fax:615-661-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty