| NPI | 1366959561 |
|---|---|
| Doing Business As | COVENANT RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH DEAN WILLIS Sole Member 256-882-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |