Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Community Center for Mental Health & Mental Retardation, Inc

Organization Community/Behavioral Health Agency · NPI 1528476603

Northeast Community Center for Mental Health & Mental Retardation, Inc is a Community/Behavioral Health Agency in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (215) 831-2800
Fax: (215) 831-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 189100 (PA)

Record details

NPI number1528476603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Como — Executive Director · (215) 831-2800
NPI enumeratedAugust 1, 2014
Last updated in NPPESAugust 1, 2014
Mailing address4641 Roosevelt Blvd, Philadelphia, PA 19124-2343

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