| NPI | 1003080904 |
|---|---|
| Doing Business As | THE COVENANT HOUSE |
| Entity Type | Organization |
| Authorized Contact | TERESA GAIL WILSON Owner 903-575-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-07-21 |