The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen in Cleveland - Community/behavioral Health
The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen - NPI 1053487140
The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen is a Community/behavioral Health in Cleveland, Ohio. The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen is 1053487140. The last update date is 2020-08-22.
The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen's current location address is 1515 W 29th St, Cleveland, Ohio. You can contact this provider via phone number 2165749000 and fax number 2166646534. The mailing address for The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen is 1515 W 29th St, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen |
|---|---|
| Address | 1515 W 29th St, Cleveland, Ohio |
| Phone Number | 2165749000 |
| Fax Number | 2166646534 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Piazza J. Richard |
| Telephone Number | 2165749000 |
NPI Number Detail
| NPI Number | 1053487140 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1515 W 29th St |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441132906 |
| Phone Number | 2165749000 |
| Fax Number | 2166646534 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 6782 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen by the Centers for Medicare & Medicaid Services?
The The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen has been assigned the NPI (National Provider Identifier) 1053487140. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen's facilities are geographically located?
The facilities of The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen are physically situated at the following location: 1515 W 29Th St, Cleveland, OH, 441132906.
What is The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date was the 1053487140 assigned to The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen?
The The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen was issued its 1053487140 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen most recently updated or revised?
The information pertaining to The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA