NPI 1073882296

Northeast Community Center for Mh/Mr

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Philadelphia, PA

Practice location

Address: 4641 Roosevelt Blvd Orleans Building, Philadelphia, PA 19124-2343
Phone: (215) 831-2800

Authorised official

Name: Howard Kaufman
Title: Executive Director
Phone: (215) 831-2800

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 127450 (PA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Registry record

NPI: 1073882296
Entity type: Organization
NPI issued: 16 Dec 2011
Record last updated: 16 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.