COVENANT COMMUNITY CARE, INC.

NPI # 

Practice Address:

27776 Woodward Ave

Royal Oak, MI, 48067-0930

Practice Phone:

248-556-4900

Practice Fax:

248-556-4950

Email:

info@covenantcommunitycare.org

License Number:

4704195855

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X