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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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