Organization · Type 2 NPI

Northeast Community Center for Mental Health & Mental Retardation

Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA

NPI number 1336296706 Active

Practice location

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343

Call (215) 831-2800 Map

Fax (215) 831-2929

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X121920 (PA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1336296706

Northeast Community Center for Mental Health & Mental Retardation's National Provider Identifier is 1336296706, issued on Jan 5, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.