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Organization
NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN CHLEBOWSKI (CEO)
(484) 221-9136
Entity
Organization
Contact information
Practice address
2152 N FRONT ST, PHILADELPHIA, PA 19122-1705
(484) 221-9136
(484) 221-9130
Mailing address
2030 W TILGHMAN ST, SUITE 105B, ALLENTOWN, PA 18104-4354
(484) 221-9136
(484) 221-9130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
105610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007295290002
COMMUNITY BEHAVIORAL HEAL
PA
05
—
1007295290002
—
PA
Enumeration date
02/09/2007
Last updated
11/09/2007
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