Covenant Community, Inc. in Atlanta - Substance Abuse Rehabilitation Facility
Covenant Community, Inc. - NPI 1740491828
Covenant Community, Inc. is a Substance Abuse Rehabilitation Facility in Atlanta, Georgia. Covenant Community, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Covenant Community, Inc. is 1740491828. The last update date is 2020-08-22.
Covenant Community, Inc.'s current location address is 623 Spring St Nw, Atlanta, Georgia. You can contact this provider via phone number 4048814660. The mailing address for Covenant Community, Inc. is 623 Spring St Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Community, Inc. |
|---|---|
| Address | 623 Spring St Nw, Atlanta, Georgia |
| Phone Number | 4048814660 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ray Jeanette |
| Credentials | LPC, CCM |
| Telephone Number | 4042674294 |
NPI Number Detail
| NPI Number | 1740491828 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 623 Spring St Nw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303081907 |
| Phone Number | 4048814660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 060403D |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Covenant Community, Inc.?
The Covenant Community, Inc. has been issued the NPI (National Provider Identifier) 1740491828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Covenant Community, Inc. is physically located?
The Covenant Community, Inc. is physically situated at the following address: 623 Spring St Nw, Atlanta, GA, 303081907.
What is Covenant Community, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Covenant Community, Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
On what date did the Covenant Community, Inc. receive the assignment of its 1740491828 from the Centers for Medicare & Medicaid Services?
The Covenant Community, Inc. was issued its 1740491828 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information related to Covenant Community, Inc. most recently updated or refreshed?
The details pertaining to the Covenant Community, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.