| Organization Name: | COVENANT CARE TREATMENT SERVICES |
| NPI Number: | 1114380946 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAE FINDLAY (ADMINISTRATOR) |
| Mailing Address: | 601 North Dixie Highway Lantana |
| State: | FL US |
| Postal Code: | 33462 |
| Phone Number: | 7544221143 |
| Fax Number: | 9547468231 |
| NPI Enumeration Date: | 03/30/2016 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |