Organization
BELMONT CENTER FOR COMPRHENSIVE TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL RUSSO (CORP. DIRECTOR OF FINANCE)
(215) 456-6611
Entity
Organization
Contact information
Practice address
4200 MONUMENT RD, PHILA, PA 19131-1625
(215) 456-6611
(215) 457-4304
Mailing address
4200 MONUMENT RD, PHILA, PA 19131-1625
(215) 456-6611
(215) 457-4304
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
117160
PA
283Q00000X
Psychiatric Hospital
117160
PA
283Q00000X
Psychiatric Hospital
121960
PA
283Q00000X
Psychiatric Hospital
177920
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007417750001
—
PA
05
—
1007417750005
—
PA
05
—
1007417750009
—
PA
05
—
1007417750013
—
PA
05
—
1007417750018
—
PA
Enumeration date
07/19/2005
Last updated
09/11/2025
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