NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION I 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 I NPI is 1306907704. The provider is registered as an organization entity type.
The provider's business location address is:
4641 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19124-343
Phone: (215) 831-2800
Fax: (215) 831-2929
The provider's authorized official is David Como .
The authorized official title is Executive Director and has the following contact phone number (215) 831-2800.
The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/9/2014.