Organization
NORTHEAST TREATMENT CENTERS. INC.
Active
Other names
Northeast Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN NOEL (CHIEF FINANCIAL OFFICER)
(215) 451-7000
Entity
Organization
Contact information
Practice address
499 N 5TH ST, SUITE D-E, PHILADELPHIA, PA 19123-4005
(215) 451-7100
(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
910194
PA
261QM2800X
Methadone Clinic
910194
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
910194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004972000
MAGELLAN PERSONAL CHOICE
PA
01
—
046410000
MAGELLAN COMMERCIAL
DE
01
—
046410000
MAGELLAN COMMERCIAL
PA
01
—
1000022246
DIAMOND STATE PARTNERS
DE
05
—
100022246
—
DE
05
—
100773886
—
PA
01
—
119254
COMMUNITY BEHAVIORAL HEAL
PA
01
—
119272
COMMUNTIY BEHAVIORAL HEAL
—
01
—
159997
BLUE CROSS DELAWARE
DE
01
—
217465
UNISON HEALTH PLAN
DE
01
—
273261
MANAGED HEALTH NETWORK
DE
01
—
273261
MANAGED HEALTH NETWORK
PA
01
—
296503000
MAGELLAN HEALTH CHOICES
PA
01
—
311749
MAGELLAN - KEYSTONE HPE
PA
01
—
462315000
MAGELLAN HEALTH CHOICES
PA
Enumeration date
02/05/2008
Last updated
06/19/2019
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