Northeast Community Center For Mh/mr

NPI 1073882296 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1073882296
Enumeration Date 12/16/2011
Last Updated 12/16/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HOWARD HOWARD
Position EXECUTIVE DIRECTOR
Phone (215) 831-2800
Fax
Practice Location
4641 ROOSEVELT BLVD
ORLEANS BUILDING
PHILADELPHIA PA, 19124-2343, US
Phone (215) 831-2800
Fax
Business Location
4641 ROOSEVELT BLVD
ORLEANS BUILDING
PHILADELPHIA PA, 19124-2343, US
Phone
Fax
Toxanomy
Taxonomy Code 320600000X
License State Pennsylvania
License Number 127450
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According to our database, Northeast Community Center For Mh/mr NPI is 1073882296, taxonomy code is 320600000X and license number is 127450, license state is located at Pennsylvania. Northeast Community Center For Mh/mr physically located at 4641 Roosevelt Blvd, Philadelphia PA, 19124-2343. NPI Number 1033115704 has the healthcare provider type.

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1073882296 NPI number is provided on an as is basis without warranty of any kind. 1073882296 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Community Center For Mh/mr are for informational purposes only.