Organization
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
Active
Other names
Northeast Community Center for Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GUSCOTT (DEPUTY DIRECTOR)
(215) 831-2826
Entity
Organization
Contact information
Practice address
4371 WALN ST, PHILADELPHIA, PA 19124-4010
(215) 831-2826
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-2836
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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