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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

Active Organization

Case Management Agency · PHILADELPHIA, PA

Registration Details

NPI Number
1457408023
Provider Type
Organization
NPI Issued
Jan 4, 2007 (19.31203225278 yrs)
Last Updated
Aug 22, 2020
License
ICM780791 (PA)

Practice Information

Address
4641 ROOSEVELT BLVD
PHILADELPHIA, PA, 191242343
Browse PA providers · Browse ZIP 19124
Phone
2158312800
Fax
2158312929
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Organizations in PHILADELPHIA, PA

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.