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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