Provider Demographics
NPI:1952291122
Name:CRAVEN TERRACE CHARITIES INC
Entity type:Organization
Organization Name:CRAVEN TERRACE CHARITIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:MBUMBA
Authorized Official - Last Name:CHITALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-626-7732
Mailing Address - Street 1:825 GUM BRANCH RD STE 121
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-6293
Mailing Address - Country:US
Mailing Address - Phone:252-626-7732
Mailing Address - Fax:
Practice Address - Street 1:825 GUM BRANCH RD STE 121
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-6293
Practice Address - Country:US
Practice Address - Phone:252-626-7732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable