THE RAVEN NPI 1205374709

NPI Information

  • NPI: 1205374709
  • Provider Name: THE RAVEN
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 1652 E BOOKER DAIRY RD
    SMITHFIELD, NC
    ZIP 27577
  • Phone: (919) 938-8353

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NPI Details

THE RAVEN is a rehabilitation and substance use disorder clinic center in Smithfield, NC. THE RAVEN NPI is 1205374709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1652 E BOOKER DAIRY RD
SMITHFIELD, NC
ZIP 27577-405
Phone: (919) 938-8353

The provider's authorized official is Demetria Brooks .
The authorized official title is President and has the following contact phone number (917) 603-7737.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
4324500000XSubstance Abuse Rehabilitation FacilityNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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