The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6782 Issued in OH

Legal business name

THE COVENANT ADOLESCENT CHEMICAL DEPENDENCY TREATMENT & PREVENTION CEN

Doing business as

The Covenant, Inc.

Practice address

1515 W 29TH St
Cleveland, OH 44113-2906

Phone

(216) 574-9000

Fax

(216) 664-6534

NPI assigned

Nov 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard J. Piazza

Title

Executive Director

Phone

(216) 574-9000

Specialties & licenses 1

Addresses

Other names 1

• The Covenant, Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053487140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W 29TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132906",
            "telephone_number": "216-574-9000",
            "fax_number": "216-664-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W 29TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132906",
            "telephone_number": "216-574-9000",
            "fax_number": "216-664-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVENANT ADOLESCENT CHEMICAL DEPENDENCY TREATMENT & PREVENTION CEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-574-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "6782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Covenant, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.