institution
Northeast Community Center For Mental Health & Mental Retardation
Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, Pennsylvania
NPI 1336296706

Northeast Community Center For Mental Health & Mental Retardation is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Philadelphia, PA and is specialized in Mental Health (Including Community Mental Health Center). Northeast Community Center For Mental Health & Mental Retardation practices in Philadelphia, PA. The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1336296706 and holds a License No. 121920 (Pennsylvania).

The current practice location address for Northeast Community Center For Mental Health & Mental Retardation is 4641 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-2800 and via fax at 215-831-2929.

Location: 4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
institution
Provider Profile Details
NPI Number
1336296706
Provider Name
Northeast Community Center For Mental Health & Mental Retardation
Credential
Provider Entity Type
Organization
Address
4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
Phone Number
215-831-2800
Fax Number
215-831-2929
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000034170037 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
215-831-2929
person
Provider Business Mailing Address Details
Address
4641 Roosevelt Blvd
City
State
Zip
19124-2343
Phone Number
215-831-2800
Fax Number
215-831-2929
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
121920 (Pennsylvania)
Definition
Definition to come...
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