| Covenant Community Develpoment Corp | |
|
1217 Rev S Howard Woodson Jr Way Ewing NJ 08638-4015 | |
| (609) 695-0684 | |
| (609) 396-1198 |
| Full Name | Covenant Community Develpoment Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1217 Rev S Howard Woodson Jr Way, Ewing, New Jersey |
| Authorized Official Name and Position | Sharlene Williams (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 6096950684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Community Develpoment Corp 1217 Rev S Howard Woodson Jr Way Ewing NJ 08638-4015 Ph: (609) 695-0684 | Covenant Community Develpoment Corp 1217 Rev S Howard Woodson Jr Way Ewing NJ 08638-4015 Ph: (609) 695-0684 |
| NPI Number | 1194936880 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194936880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (New Jersey) | Primary |
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