NORTHEAST COMMUNITY CENTER FOR MH/MR NPI 1669883013

NPI Information

NPI: 1669883013
Provider Name: NORTHEAST COMMUNITY CENTER FOR MH/MR
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4641 ROOSEVELT BLVD
ORLEANS BLDG
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 831-2826
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NORTHEAST COMMUNITY CENTER FOR MH/MR is an addiction (substance use disorder) counselor in Philadelphia, PA. NORTHEAST COMMUNITY CENTER FOR MH/MR NPI is 1669883013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4641 ROOSEVELT BLVD
ORLEANS BLDG
PHILADELPHIA, PA
ZIP 19124-343
Phone: (215) 831-2826

The provider's authorized official is Dennis Guscott .
The authorized official title is Mis Directot and has the following contact phone number (215) 831-2826.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 5/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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