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Organization
COVENANT CARE, LLC
Active
Organization
COVENANT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN NAOH-MENE (PROGRAM DIRECTOR)
(602) 486-3019
Entity
Organization
Contact information
Practice address
6920 W CARSON RD, LAVEEN, AZ 85339-7028
(602) 486-3019
Mailing address
6920 W CARSON RD, LAVEEN, AZ 85339-7028
(602) 486-3019
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH3586
AZ
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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