COVENANT COMMUNITY CARE, INC.

NPI # 

Practice Address:

1700 Waterman St

Detroit, MI, 48209-2022

Practice Phone:

313-841-1612

Practice Fax:

313-554-1918

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