NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI 1346397957

NPI Information

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION is a mental health (including community mental health center) clinic center in Philadelphia, PA. NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI is 1346397957. The provider is registered as an organization entity type.

The provider's business location address is:

1527 OVERINGTON ST
PHILADELPHIA, PA
ZIP 19124-831
Phone: (215) 831-2900
Fax: (215) 831-2983

The provider's authorized official is Howard J Kaufman .
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 1/4/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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