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Organization

NORTHEAST TREATMENT CENTERS, INC.

Active
Other names
Northeast Treatment Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES STRAUSS (CHEIF FINANCIAL OFFICER)
(215) 240-8298
Entity
Organization

Contact information

Practice address
499 N 5TH ST, SUITE A, PHILADELPHIA, PA 19123
(215) 451-7015
(215) 451-7110
Mailing address
499 N 5TH ST, SUITE A, PHILADELPHIA, PA 19123
(215) 451-7000
(215) 451-7110

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
104870
PA
251S00000X
Community/Behavioral Health Agency
104870
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004972000
MAGELLAN PERSONAL CHOICE
DE
01
0004972000
MAGELLAN PERSONAL CHOICE
PA
01
046410000
MAGELLAN COMMERCIAL
DE
01
046410000
MAGELLAN COMMERCIAL
PA
01
1000022246
DIAMOND STATE PARTNERS ME
05
100022246
DE
01
1000838
COMMUNITY CARE BEHAVIORAL
PA
05
100773886
PA
01
159997
BLUE CROSS OF DELAWARE
01
273261
MANAGED HEALTH NETWORK
DE
01
273261
MANAGED HEALTH NETWORK
PA
01
296503000
MAGELLAN HEALTH CHOICES
PA
01
311749
MAGELLAN KEYSTONE HEALTH
DE
01
311749
MAGELLAN KEYSTONE HEALTH
PA
01
462315000
MAGELLAN HEALTH CHOICES
PA
Enumeration date
09/20/2006
Last updated
05/14/2021
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