| Northeast Treatment Centers, Inc | |
|
2701 N Broad St Philadelphia PA 19132-2743 | |
| (215) 451-7000 | |
| (215) 451-7010 |
| Full Name | Northeast Treatment Centers, Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2701 N Broad 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 Centers, Inc 499 N 5th St Suite A Philadelphia PA 19123-4005 Ph: (215) 451-7000 | Northeast Treatment Centers, Inc 2701 N Broad St Philadelphia PA 19132-2743 Ph: (215) 451-7000 |
| NPI Number | 1407145295 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407145295 | NPI | - | NPPES |
| 100773886 | Other | PA | MAGELLAN HEALTH CHOICES |
| 100773886 | Other | PA | COMMUNITY BEHAVIORAL HEALTH (CBH) |
| 100773886 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 807327 (Pennsylvania) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 807327 (Pennsylvania) | Primary |
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