Organization
NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CHLEBOWSKI (CEO)
(484) 221-9136
Entity
Organization
Contact information
Practice address
2927 N 5TH ST, 2ND FLOOR, PHILADELPHIA, PA 19133-2800
(215) 291-4357
(484) 221-9136
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
—
1007295290004
COMMUNITY BEHAVIORAL HEAL
PA
05
—
1007295290004
—
PA
Enumeration date
10/03/2006
Last updated
11/09/2007
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