| Organization Name: | COVENANT CARE TREATMENT SERVICES |
| NPI Number: | 1184085342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAE FINDLAY (ADMINISTRATOR) |
| Mailing Address: | 610 N Dixie Hwy Lantana |
| State: | FL US |
| Postal Code: | 334621801 |
| Phone Number: | 5613312514 |
| Fax Number: | 9547468231 |
| NPI Enumeration Date: | 03/16/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |