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Organization

COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REKIYA BELL (DIRECTOR OF BILLING)
(215) 473-7033
Entity
Organization

Contact information

Practice address
4900 WYALUSING AVE, MAIN BUILDING, PHILADELPHIA, PA 19131-5127
(214) 473-7033
(215) 827-5276
Mailing address
4900 WYALUSING AVE, MAIN BUILDING, PHILADELPHIA, PA 19131-5127
(214) 473-7033
(215) 827-5276

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
121630
PA

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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