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 I

Organization Adult Mental Health Clinic/Center · NPI 1306907704

Northeast Community Center for Mental Health-Mental Retardation I is an Adult Mental Health Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
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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

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 121890 (PA)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence 121890 (PA)

Record details

NPI number1306907704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Como — Executive Director · (215) 831-2800
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 9, 2014
Mailing address4641 Roosevelt Blvd, Philadelphia, PA 19124-2343

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