COVENANT HOUSE, INC

NPI # 

Practice Address:

8125 Stenton Ave

Philadelphia, PA, 19150-3530

Practice Phone:

215-248-7560

Practice Fax:

215-248-7564

License Number:

032220

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X