institution
Northeast Community Center For Mh/mr
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1073882296

Northeast Community Center For Mh/mr is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Philadelphia, PA. Northeast Community Center For Mh/mr practices in Philadelphia, PA. The NPI Number for Northeast Community Center For Mh/mr is 1073882296 and holds a License No. 127450 (Pennsylvania).

The current practice location address for Northeast Community Center For Mh/mr is 4641 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-2800. You can also correspond with Northeast Community Center For Mh/mr through the mailing address at 4641 ROOSEVELT BLVD, PHILADELPHIA, PA - 19124-2343 (mailing address contact number: ).

Location: 4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
institution
Provider Profile Details
NPI Number
1073882296
Provider Name
Northeast Community Center For Mh/mr
Credential
Provider Entity Type
Organization
Address
4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
Phone Number
215-831-2800
Fax Number
Provider Enumeration Date
12/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000034170063 05 PA
1000034170072 05 PA
1000034170061 05 PA
institution
Provider Business Practice Location Address Details
Address
4641 Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
215-831-2800
Fax Number
person
Provider Business Mailing Address Details
Address
4641 Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
127450 (Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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