NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI 1699822668

NPI Information

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION is an adolescent and children 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI is 1699822668. The provider is registered as an organization entity type.

The provider's business location address is:

7226 CASTOR AVE
PHILADELPHIA, PA
ZIP 19149-108
Phone: (215) 742-7810
Fax: (215) 742-7017

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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