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
Fax: (215) 831-2929
Website:
Authorized official contact:
Name: Kaufman, Howard J

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X ICM780791 Pennsylvania

Profile Details

NPI number 1457408023
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457408023 NPPES
Pennsylvania MEDICAID 1000034170026

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