NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. NPI 1225693328

NPI Information

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. is an adult mental health clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. NPI is 1225693328. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Community Center For Behavioral Health.

The provider's business location address is:

4371 WALN ST
PHILADELPHIA, PA
ZIP 19124-010
Phone: (215) 831-2826

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

The enumeration date for this NPI number is 5/3/2019 and was last updated on 5/3/2019.

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:

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