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 4371 Waln St , Philadelphia PA 19124-4010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Northeast Community Center For Mental Health & Mental Retardation can be contacted via phone (215) 831-2950, or through Kaufman, Howard J via phone (215) 831-2800.
Contact Information
Primary practice address
4371 Waln St
Philadelphia PA 19124-4010
Phone: (215) 831-2950
Fax: (215) 831-2982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 121920 | Pennsylvania |
Profile Details
| NPI number | 1972651248 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972651248 | NPPES |
| Pennsylvania | MEDICAID | 1000034170040 |
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