NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION

NPI # 

Practice Address:

4641 Roosevelt Blvd

Philadelphia, PA, 19124-2343

Practice Phone:

215-831-2800

Practice Fax:

215-831-2929

License Number:

121920

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X