Provider Demographics
NPI:1518272475
Name:THE RALEIGH BLACK CHAMBER OF COMMERCE
Entity Type:Organization
Organization Name:THE RALEIGH BLACK CHAMBER OF COMMERCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:D BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-739-1113
Mailing Address - Street 1:PO BOX 91663
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27675
Mailing Address - Country:US
Mailing Address - Phone:888-739-1113
Mailing Address - Fax:888-738-1118
Practice Address - Street 1:2501 BLUE RIDGE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6479
Practice Address - Country:US
Practice Address - Phone:888-739-1113
Practice Address - Fax:888-738-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness