NPI | 1255123444 |
---|---|
Doing Business As | RAPHA MEDICAL PSYCH SERVICES |
Entity Type | Organization |
Authorized Contact | TILAHUN MEKONNEN GOSHU CEO 434-249-9752 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-05-21 |
Last Update Date | 2025-05-23 |