Northeast Community Center For Mental Health & Mental Retardation
LBN: Northeast Community Center For Mental Health & Mental Retardation
Northeast Community Center For Mental Health & Mental Retardation is an health care organization with primary practice located at 4641 Roosevelt Blvd , Philadelphia PA 19124-2343. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty.
Northeast Community Center For Mental Health & Mental Retardation can be contacted via phone (215) 831-2800, or through Kaufman, Howard J via phone (215) 831-2800.
Contact Information
Primary practice address
4641 Roosevelt Blvd
Philadelphia PA 19124-2343
Phone: (215) 831-2800
Fax: (215) 831-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | XRC190494 | Pennsylvania |
Profile Details
| NPI number | 1083761654 |
|---|---|
| LBN Legal business name | Northeast Community Center For Mental Health & Mental Retardation |
| DBA Doing business as | |
| Authorized official | Kaufman, Howard J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083761654 | NPPES |
| Pennsylvania | MEDICAID | 1000034170043 |
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Northeast Community Center For Mental Health & Mental Retardation
4641 Roosevelt Blvd , Philadelphia PA 19124-2343