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Organization
NORTHEAST TREATMENT CENTERS, INC.
Active
Organization
NORTHEAST TREATMENT CENTERS, INC.
Active
Other names
Northeast Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES STRAUSS (CHEIF FINANCIAL OFFICER)
(215) 240-8298
Entity
Organization
Contact information
Practice address
499 N 5TH ST, SUITE A, PHILADELPHIA, PA 19123
(215) 451-7015
(215) 451-7110
Mailing address
499 N 5TH ST, SUITE A, PHILADELPHIA, PA 19123
(215) 451-7000
(215) 451-7110
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
104870
PA
251S00000X
Community/Behavioral Health Agency
104870
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004972000
MAGELLAN PERSONAL CHOICE
DE
01
—
0004972000
MAGELLAN PERSONAL CHOICE
PA
01
—
046410000
MAGELLAN COMMERCIAL
DE
01
—
046410000
MAGELLAN COMMERCIAL
PA
01
—
1000022246
DIAMOND STATE PARTNERS ME
—
05
—
100022246
—
DE
01
—
1000838
COMMUNITY CARE BEHAVIORAL
PA
05
—
100773886
—
PA
01
—
159997
BLUE CROSS OF DELAWARE
—
01
—
273261
MANAGED HEALTH NETWORK
DE
01
—
273261
MANAGED HEALTH NETWORK
PA
01
—
296503000
MAGELLAN HEALTH CHOICES
PA
01
—
311749
MAGELLAN KEYSTONE HEALTH
DE
01
—
311749
MAGELLAN KEYSTONE HEALTH
PA
01
—
462315000
MAGELLAN HEALTH CHOICES
PA
Enumeration date
09/20/2006
Last updated
05/14/2021
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