Organization
RAPHA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOFOLUSO AGBELESE (APRN)
(401) 935-1804
Entity
Organization
Contact information
Practice address
984 CHARLES ST, NORTH PROVIDENCE, RI 02904-5054
(401) 935-1804
(401) 340-1904
Mailing address
984 CHARLES ST, NORTH PROVIDENCE, RI 02904-5054
(401) 935-1804
(401) 340-1904
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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