Organization
RAVEN CARES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID ELAM (PRESIDENT)
(606) 207-6617
Entity
Organization
Contact information
Practice address
259 OLD FLEMINGSBURG RD STE 101, MOREHEAD, KY 40351-1090
(859) 494-2656
Mailing address
259 OLD FLEMINGSBURG RD STE 101, MOREHEAD, KY 40351-1090
(606) 356-2157
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
11/03/2022
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