Northeast Community Center for Mh/mr

NPI #1073882296 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1073882296
Entity Type
Organization
Organization Name
Northeast Community Center for Mh/mr
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 16, 2011
Last Updated
Dec 16, 2011

Practice Location

Address
4641 ROOSEVELT BLVD
Address 2
ORLEANS BUILDING
ZIP Code
19124-2343
Phone
(215) 831-2800

Authorized Official

Name
HOWARD KAUFMAN
Title
EXECUTIVE DIRECTOR
Phone
(215) 831-2800

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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