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Organization

NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ANN CHLEBOWSKI (CEO)
(484) 221-9136
Entity
Organization

Contact information

Practice address
2152 N FRONT ST, PHILADELPHIA, PA 19122-1705
(484) 221-9136
(484) 221-9130
Mailing address
2030 W TILGHMAN ST, SUITE 105B, ALLENTOWN, PA 18104-4354
(484) 221-9136
(484) 221-9130

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
105610
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007295290002
COMMUNITY BEHAVIORAL HEAL
PA
05
1007295290002
PA
Enumeration date
02/09/2007
Last updated
11/09/2007
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