Organization
COVENANT COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE RAY LPC, CCM (EXECUTIVE DIRECTOR)
(404) 267-4294
Entity
Organization
Contact information
Practice address
623 SPRING ST NW, ATLANTA, GA 30308-1907
(404) 881-4660
Mailing address
623 SPRING ST NW, ATLANTA, GA 30308-1907
(404) 881-4660
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
060403D
GA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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