| The Covenant, Inc. | |
|
1515 W 29th St Cleveland OH 44113-2906 | |
| (216) 574-9000 | |
| (216) 664-6534 |
| Full Name | The Covenant, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 W 29th St, Cleveland, Ohio |
| Authorized Official Name and Position | Richard J. Piazza (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2165749000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Covenant, Inc. 1515 W 29th St Cleveland OH 44113-2906 Ph: (216) 574-9000 | The Covenant, Inc. 1515 W 29th St Cleveland OH 44113-2906 Ph: (216) 574-9000 |
| NPI Number | 1053487140 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053487140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6782 (Ohio) | Primary |
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