COVENANT HOUSE INC

NPI # 

Practice Address:

251 East Bringhurst Street

Philadelphia, PA, 19144

Practice Phone:

215-844-1020

Practice Fax:

215-844-2702

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