Covenant Child INC
NPI #1386883700 in Artesia, New Mexico
Provider Information
- NPI Number
- 1386883700
- Entity Type
- Organization
- Organization Name
- Covenant Child INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 9, 2009
- Last Updated
- Feb 9, 2009
Practice Location
- Address
- 801 W BUSH AVE
- City
- Artesia
- State
- New Mexico
- ZIP Code
- 88210-1255
- Phone
- (575) 746-6277
Authorized Official
- Name
- PAT M RUPE, MSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (575) 746-6277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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