NPI 1144541293

Covenant Care, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Laveen, AZ

Practice location

Address: 6920 W Carson Rd, Laveen, AZ 85339-7028
Phone: (602) 486-3019

Authorised official

Name: Evelyn Naoh-Mene
Title: Program Director
Phone: (602) 486-3019

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH3586 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1144541293
Entity type: Organization
NPI issued: 11 Jun 2010
Record last updated: 11 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.