| NPI | 1821589615 |
|---|---|
| Doing Business As | COVENANT HOUSE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROLYN RICHARDSON Director, Reimbursement Services 215-844-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PA 032220) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |