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Organization
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION
Active
Organization
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD J KAUFMAN (EXECUTIVE DIRECTOR)
(215) 831-2800
Entity
Organization
Contact information
Practice address
7226 CASTOR AVE, PHILADELPHIA, PA 19149-1108
(215) 742-7810
(215) 742-7017
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-2800
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
121890
PA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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