Organization
COVENANT COMMUNITY CARE, INC.
Active
Other names
Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GRIEBEL CHAVEZ (CFO)
(313) 554-0485
Entity
Organization
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-3880
(313) 899-3550
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(132) 280-2833
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
05/08/2023
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