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 A, PHILADELPHIA, PA 19123-4005
(215) 451-7000
(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
807408
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
807408
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
807408
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773572
—
PA
Enumeration date
09/03/2008
Last updated
10/07/2008
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