| Northeast Community Center For Behavioral Health | |
|
4371 Waln St Philadelphia PA 19124-4010 | |
| (215) 831-2826 | |
| Not Available |
| Full Name | Northeast Community Center For Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4371 Waln St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dennis Guscott (DEPUTY DIRECTOR) |
| Authorized Official Contact | 2158312826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Community Center For Behavioral Health 4641 Roosevelt Blvd Philadelphia PA 19124-2343 Ph: (215) 831-2836 | Northeast Community Center For Behavioral Health 4371 Waln St Philadelphia PA 19124-4010 Ph: (215) 831-2826 |
| NPI Number | 1225693328 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225693328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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