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 1972651248

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 1972651248. The last update date is 2020-08-22.

Northeast Community Center For Mental Health & Mental Retardation's current location address is 4371 Waln St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158312950 and fax number 2158312982. The mailing address for Northeast Community Center For Mental Health & Mental Retardation is 4371 Waln St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Community Center For Mental Health & Mental Retardation
Address 4371 Waln St, Philadelphia, Pennsylvania
Phone Number 2158312950
Fax Number 2158312982
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Kaufman J Howard
Telephone Number 2158312800

NPI Number Detail

NPI Number 1972651248
Provider Enumeration Date 2007-01-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4371 Waln St
City Philadelphia
State Pennsylvania (PA)
Post Code 191244010
Phone Number 2158312950
Fax Number 2158312982

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
1000034170040 PA --

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FAQs about Northeast Community Center For Mental Health & Mental Retardation

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 1972651248 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 4371 Waln St, in the city of Philadelphia, state of PA, with the postal code 191244010.

What is Northeast Community Center For Mental Health & Mental Retardation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Northeast Community Center For Mental Health & Mental Retardation is Mental Health (including Community Mental Health Center), and the taxonomy code that classifies this field of practice is 261Qm0801X.

When did the Northeast Community Center For Mental Health & Mental Retardation receive its 1972651248?

The Northeast Community Center For Mental Health & Mental Retardation was issued its 1972651248 on 2007-01-05, which is the date when the organization was assigned this unique identifier.

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.

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