Organization
THE RAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRIA BROOKS (PRESIDENT)
(917) 603-7737
Entity
Organization
Contact information
Practice address
1652 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-8353
Mailing address
PO BOX 9862, CHAPEL HILL, NC 27515-1862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/03/2017
Last updated
02/20/2017
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