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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION I

Active Organization

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION I is a Adult Mental Health Clinic organization located in PHILADELPHIA, Pennsylvania. NPI 1306907704 is currently active in the NPPES registry. Verify at CMS.

Adult Mental Health Clinic · PHILADELPHIA, PA

Registration Details

NPI Number
1306907704
Provider Type
Organization
NPI Issued
Dec 12, 2006 (19.64647112152 yrs)
Last Updated
Jul 9, 2014
Licenses
121890 (PA)
121890 (PA)

Practice Information

Address
4641 ROOSEVELT BLVD
PHILADELPHIA, PA, 191242343
Browse PA providers · Browse ZIP 19124
Phone
2158312800
Fax
2158312929
Primary Specialty
Adult Mental Health Clinic
261QM0850X
Additional Specialty
Adult Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.