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 Mental Illness Community Based Residential Treatment Facility · NPI 1306210703

Northeast Community Center for Mental Health-Mental Retardation Inc is a Mental Illness Community Based Residential Treatment Facility in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
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 Orleans Bldg
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

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 124560 (PA)

Record details

NPI number1306210703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Como — Executive Director · (215) 831-2828
NPI enumeratedNovember 23, 2015
Last updated in NPPESNovember 23, 2015
Mailing address4641 Roosevelt Blvd, Orleans Bldg, Philadelphia, PA 19124-2343

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