Organization
NORTHEAST COMMUNITY CENTER FOR MH/MR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GUSCOTT (MIS DIRECTOR)
(215) 831-2826
Entity
Organization
Contact information
Practice address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2826
(215) 831-2929
Mailing address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2826
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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