# COVENANT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144541293
- **Authorized official:** MS. EVELYN NAOH-MENE (PROGRAM DIRECTOR)
- **Authorized official phone:** (602) 486-3019

## Contact information

- **Practice address:** 6920 W CARSON RD, LAVEEN, AZ 85339-7028
- **Practice address phone:** (602) 486-3019
- **Mailing address:** 6920 W CARSON RD, LAVEEN, AZ 85339-7028
- **Mailing address phone:** (602) 486-3019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH3586 | AZ | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 06/11/2010