Northeast Community Center For Mental Health-mental Retardation I is an Adolescent and Children Mental Health Clinic/Center based in Philadelphia, PA and is specialized in Adolescent and Children Mental Health. Northeast Community Center For Mental Health-mental Retardation I practices in Philadelphia, PA. The NPI Number for Northeast Community Center For Mental Health-mental Retardation I is 1306907704 and holds a License No. 121890 (Pennsylvania).
The current practice location address for Northeast Community Center For Mental Health-mental Retardation I is 4641 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-2800 and via fax at 215-831-2929. You can also correspond with Northeast Community Center For Mental Health-mental Retardation I through the mailing address at 4641 ROOSEVELT BLVD, PHILADELPHIA, PA - 19124-2343 (mailing address contact number: 215-831-2800).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769146 | 01 | PA | MEDICARE PTAN |
| 1000034170051 | 05 | PA | |
| 169773 | 01 | PA | MEDICARE PTAN |
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