Organization
RAPHA BEHAVIORAL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYIWOLA RAPHAEL ILORI (CEO)
(972) 742-5220
Entity
Organization
Contact information
Practice address
119 W WHEATLAND RD STE B, DUNCANVILLE, TX 75116-4725
(972) 742-5220
Mailing address
119 W WHEATLAND RD STE B, DUNCANVILLE, TX 75116-4725
(972) 742-5220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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