| NPI | 1528392008 |
|---|---|
| Doing Business As | COVENANT HOUSE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN DENISE STUKES Chief Executive Officer 215-844-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PA 032220) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-12-20 |