UNDER 21

NEW YORK, NY
NPI1053588988
Doing Business AsCOVENANT HOUSE
Entity TypeOrganization
Authorized ContactDAVID J DAVIS
Medical Director
212-613-0300
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Additional Taxonomies261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2008-05-09
Last Update Date2017-06-09
Business Address
UNDER 21
460 W 41ST
NEW YORK, NY 10036
Phone number: 212-613-0300
Mailing Address
UNDER 21
460 W 41ST
NEW YORK, NY 10036
Phone number: 212-613-0300