My Covenant Place

NPI #1164853669 in Largo, Maryland

Provider Information

NPI Number
1164853669
Entity Type
Organization
Organization Name
My Covenant Place
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 9, 2013
Last Updated
Jan 9, 2023

Practice Location

Address
9701 APOLLO DR STE 4114TH
City
Largo
ZIP Code
20774-4783
Phone
(301) 577-7307

Authorized Official

Name
MS. LATISHA CARTER
Title
CEO/EXECUTIVE DIRECTOR
Phone
(301) 577-7307

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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