Northeast Community Center for Mh/mr

NPI #1073925400 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1073925400
Entity Type: Organization
Organization Name: Northeast Community Center for Mh/mr
Primary Specialty: Counselor
Enumeration Date: May 20, 2014
Last Updated: May 20, 2014

Practice Location

Address: 4641 ROOSEVELT BLVD
Address 2: ORLEANS BLDG
City: Philadelphia
State: Pennsylvania
ZIP Code: 19124-2343
Phone: (215) 831-2826

Authorized Official

Name: DENNIS GUSCOTT
Title: MIS DIRECTOR
Phone: (215) 831-2826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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