Organization · Type 2 NPI

Northeast Community Center for Mh/mr

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Philadelphia, PA

NPI number 1073882296 Active

Practice location

4641 Roosevelt Blvd, Orleans Building
Philadelphia, PA 19124-2343

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X127450 (PA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1073882296

Northeast Community Center for Mh/mr's National Provider Identifier is 1073882296, issued on Dec 16, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 16, 2011.