Raven Enterprises, Llc
Community/Behavioral Health Agency in Orlando, FL(View on Map)
Legal Business Name
Raven Enterprises, Llc
NPI Number
1093103632
NPI Type
Organization
Enumeration Date
01/06/2015
Specialties
(Taxonomies)Licenses
State
Florida
License Number
IMH12406
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 532023
1550 LAKE BALDWIN LN
City
Orlando
Orlando
State
FL
FL
Postal Code
32853-2023
32814-6680
Country
US
US
Telephone Number
(407) 616-5948
(407) 616-5948
Authorized Official
Name
Dorian Race
Title or Position
OWNER
Telephone Number
(407) 616-5948
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/06/2015
Provider Address
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