Northeast Community Center For Mental Health & Mental Retardation in Philadelphia - Mental Health (including Community Mental Health Center)
Northeast Community Center For Mental Health & Mental Retardation - NPI 1336296706
Northeast Community Center For Mental Health & Mental Retardation is a Mental Health (including Community Mental Health Center) in Philadelphia, Pennsylvania. Northeast Community Center For Mental Health & Mental Retardation practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1336296706. The last update date is 2020-08-22.
Northeast Community Center For Mental Health & Mental Retardation's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158312800 and fax number 2158312929. The mailing address for Northeast Community Center For Mental Health & Mental Retardation is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Community Center For Mental Health & Mental Retardation |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2158312800 |
| Fax Number | 2158312929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kaufman J Howard |
| Telephone Number | 2158312800 |
NPI Number Detail
| NPI Number | 1336296706 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242343 |
| Phone Number | 2158312800 |
| Fax Number | 2158312929 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 121920 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000034170037 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Northeast Community Center For Mental Health & Mental Retardation by the Centers for Medicare & Medicaid Services?
The Northeast Community Center For Mental Health & Mental Retardation has been assigned the NPI (National Provider Identifier) 1336296706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Northeast Community Center For Mental Health & Mental Retardation is located?
The Northeast Community Center For Mental Health & Mental Retardation is situated at the following address: 4641 Roosevelt Blvd, Philadelphia, PA, 191242343.
What is the area of specialization for Northeast Community Center For Mental Health & Mental Retardation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeast Community Center For Mental Health & Mental Retardation is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0801X.
On what date did the Northeast Community Center For Mental Health & Mental Retardation receive the assignment of its 1336296706 from the Centers for Medicare & Medicaid Services?
The Northeast Community Center For Mental Health & Mental Retardation was issued its 1336296706 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the details related to Northeast Community Center For Mental Health & Mental Retardation most recently updated or revised?
The information pertaining to Northeast Community Center For Mental Health & Mental Retardation, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.