Organization
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
Active
Organization
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COMO (EXECUTIVE DIRECTOR)
(215) 831-2828
Entity
Organization
Contact information
Practice address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2800
(215) 831-2929
Mailing address
4641 ROOSEVELT BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2800
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
124560
PA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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