Organization
NORTHEAST TREATMENT CENTER, INC.
Active
Organization
NORTHEAST TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SOLOMONS (CHIEF FINANCIAL OFFICER)
(215) 451-7000
Entity
Organization
Contact information
Practice address
499 N 5TH ST, SUITE B, PHILADELPHIA, PA 19123-4005
(215) 451-7100
(215) 925-6897
Mailing address
499 N 5TH ST, SUITE A, PHILADELPHIA, PA 19123-4005
(215) 451-7000
(215) 925-6897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807292
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004972000
MAGELLAN - PERSONAL CHOICE
PA
01
—
046410000
MAGELLAN - COMMERCIAL
PA
01
—
1000022246
DIAMOND STATE PARTNERS
DE
05
—
100022246
—
DE
01
—
1000838
COMMUNITY CARE BEHAVIORAL HEALTH
PA
05
—
100773572
—
PA
01
—
159997
BLUE CROSS OF DELAWARE
DE
01
—
217465
UNISON HEALTH PLAN
DE
01
—
273261
MANAGED HEALTH NETWORK
DE
01
—
296503000
MAGELLAN HEALTH CHOICES DELAWARE COUNTY
PA
01
—
311749
MAGELLAN KEYSTONE HEALTH PLAN EAST
PA
01
—
462315000
MAGELLAN HEALTH CHOICES BUCKS/MONTGOMERY COUNTIES
PA
Enumeration date
09/03/2008
Last updated
09/03/2008
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