Northeast Community Mental Health Center, Inc. | |
2927 N 5th St 2nd Floor Philadelphia PA 19133-2800 | |
(215) 291-4357 | |
(484) 221-9136 |
Full Name | Northeast Community Mental Health Center, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2927 N 5th St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Melissa Chlebowski (CEO) |
Authorized Official Contact | 4842219136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Community Mental Health Center, Inc. 2030 W Tilghman St Suite 105b Allentown PA 18104-4354 Ph: (484) 221-9136 | Northeast Community Mental Health Center, Inc. 2927 N 5th St 2nd Floor Philadelphia PA 19133-2800 Ph: (215) 291-4357 |
NPI Number | 1043304199 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 11/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043304199 | NPI | - | NPPES |
1007295290004 | Other | PA | COMMUNITY BEHAVIORAL HEAL |
1007295290004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 105610 (Pennsylvania) | Primary |
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