NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. NPI 1396119798

NPI Information

  • NPI: 1396119798
  • Provider Name: NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 4641 ROOSEVELT BLVD
    ORLEANS BUILDING
    PHILADELPHIA, PA
    ZIP 19124
  • Phone: (215) 831-2800

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NPI Details

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. is a community based residential treatment facility mental illness in Philadelphia, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. NPI is 1396119798. The provider is registered as an organization entity type.

The provider's business location address is:

4641 ROOSEVELT BLVD
ORLEANS BUILDING
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) 831-2828.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 3/30/2025

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