Organization
NORTHEAST TREATMENT CENTERS, INC
Active
Other names
NET Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN NOEL (CHIEF FINANCIAL OFFICER)
(215) 451-7000
Entity
Organization
Contact information
Practice address
300 S 7TH ST, EASTON, PA 18042-4362
(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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
487040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100757855
MAGELLAN HEALTH CHOICES
PA
05
—
100757855
—
PA
Enumeration date
03/03/2011
Last updated
04/14/2017
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