| Northeast Treatment Center, Inc. | |
|
499 N 5th St Suite B Philadelphia PA 19123-4005 | |
| (215) 451-7100 | |
| (215) 925-6897 |
| Full Name | Northeast Treatment Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 499 N 5th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jonathan Solomons (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2154517000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Treatment Center, Inc. 499 N 5th St Suite A Philadelphia PA 19123-4005 Ph: (215) 451-7000 | Northeast Treatment Center, Inc. 499 N 5th St Suite B Philadelphia PA 19123-4005 Ph: (215) 451-7100 |
| NPI Number | 1386892578 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386892578 | NPI | - | NPPES |
| 100022246 | Medicaid | DE | |
| 1000022246 | Other | DE | DIAMOND STATE PARTNERS |
| 273261 | Other | DE | MANAGED HEALTH NETWORK |
| 296503000 | Other | PA | MAGELLAN HEALTH CHOICES DELAWARE COUNTY |
| 100773572 | Medicaid | PA | |
| 217465 | Other | DE | UNISON HEALTH PLAN |
| 311749 | Other | PA | MAGELLAN KEYSTONE HEALTH PLAN EAST |
| 1000838 | Other | PA | COMMUNITY CARE BEHAVIORAL HEALTH |
| 159997 | Other | DE | BLUE CROSS OF DELAWARE |
| 046410000 | Other | PA | MAGELLAN - COMMERCIAL |
| 462315000 | Other | PA | MAGELLAN HEALTH CHOICES BUCKS/MONTGOMERY COUNTIES |
| 0004972000 | Other | PA | MAGELLAN - PERSONAL CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 807292 (Pennsylvania) | Primary |
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