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 Ambulatory Health Care Facilities / Adult Mental Health, 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:
Map and Directions
Authorized official contact:
Name: Kaufman, Howard J
Phone: (215) 831-2800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 807238 Pennsylvania

Profile Details

NPI number 1306994694
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 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306994694 NPPES
Pennsylvania MEDICAID 1000034170025

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