Northeast Community Center For Mental Health & Mental Retardation in Philadelphia - Adult Mental Health
Northeast Community Center For Mental Health & Mental Retardation - NPI 1306994694
Northeast Community Center For Mental Health & Mental Retardation is a Adult Mental Health in Philadelphia, Pennsylvania. Northeast Community Center For Mental Health & Mental Retardation practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1306994694. 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 | 1306994694 |
|---|---|
| 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 | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 807238 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000034170025 | PA | -- |
Post Comment/ Review Below
What is the Northeast Community Center For Mental Health & Mental Retardation's unique identification number?
The Northeast Community Center For Mental Health & Mental Retardation has been assigned the NPI (National Provider Identifier) Number 1306994694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Northeast Community Center For Mental Health & Mental Retardation?
The Northeast Community Center For Mental Health & Mental Retardation is physically situated at 4641 Roosevelt Blvd, in the city of Philadelphia, state of PA, with the postal code 191242343.
What is the Northeast Community Center For Mental Health & Mental Retardation's specialty and taxonomy code?
The Northeast Community Center For Mental Health & Mental Retardation's specialty is Adult Mental Health, and the corresponding taxonomy code is 261Qm0850X.
When did the Northeast Community Center For Mental Health & Mental Retardation receive its 1306994694?
The Northeast Community Center For Mental Health & Mental Retardation was issued its 1306994694 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
When was the Northeast Community Center For Mental Health & Mental Retardation's information last updated?
The Northeast Community Center For Mental Health & Mental Retardation's information was last updated on 2020-08-22.