Organization
COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization
COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REKIYAB BELL (DIRECTOR OF BILLING)
(215) 473-7033
Entity
Organization
Contact information
Practice address
714 MARKET ST, 5TH FLOOR, PHILADELPHIA, PA 19106-2326
(215) 473-7033
(215) 827-5276
Mailing address
4900 WYALUSING AVE, MAIN BUILDING, PHILADELPHIA, PA 19131-5127
(215) 473-7033
(215) 827-5276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
121630
PA
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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