Organization · Type 2 NPI

Northeast Community Center for Mental Health-Mental Retardation I

Adult Mental Health Clinic/Center · Philadelphia, PA

NPI number 1306907704 Active

Practice location

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343

Call (215) 831-2800 Map

Fax (215) 831-2929

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X121890 (PA)
Adolescent and Children Mental Health Clinic/Center 261QM0855X121890 (PA)

Adult Mental Health Clinic/Center: 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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About NPI 1306907704

Northeast Community Center for Mental Health-Mental Retardation I's National Provider Identifier is 1306907704, issued on Dec 12, 2006. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 9, 2014.