NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION

NPI # 

Practice Address:

4371 Waln St

Philadelphia, PA, 19124-4010

Practice Phone:

215-831-2950

Practice Fax:

215-831-2982

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