| Covenant Care Community Service Inc | |
|
9536 Bells Valley Dr Raleigh NC 27617-7604 | |
| (919) 848-3480 | |
| (919) 848-3498 |
| Full Name | Covenant Care Community Service Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9536 Bells Valley Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | James Adkins (CEO) |
| Authorized Official Contact | 9198483480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Care Community Service Inc 9536 Bells Valley Dr Raleigh NC 27617-7604 Ph: (919) 848-3480 | Covenant Care Community Service Inc 9536 Bells Valley Dr Raleigh NC 27617-7604 Ph: (919) 848-3480 |
| NPI Number | 1215241906 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215241906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1572 (North Carolina) | Primary |
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