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
1972651248
Active
Practice location
4371 Waln St
Philadelphia, PA 19124-4010
Fax (215) 831-2982
Mailing address
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 121920 (PA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1972651248
Northeast Community Center for Mental Health & Mental Retardation's National Provider Identifier is 1972651248, 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.