| NPI | 1629288238 |
|---|---|
| Doing Business As | COVENANT SUBSTANCE ABUSE |
| Entity Type | Organization |
| Authorized Contact | MELINDA CLARK CEO 806-725-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 000465) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-10-14 |