Organization
COVENANT CARE COMMUNITY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ADKINS (CEO)
(919) 848-3480
Entity
Organization
Contact information
Practice address
9536 BELLS VALLEY DR, RALEIGH, NC 27617-7604
(919) 848-3480
(919) 848-3498
Mailing address
9536 BELLS VALLEY DR, RALEIGH, NC 27617-7604
(919) 848-3480
(919) 848-3498
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1572
NC
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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