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 1457896565

Northeast Community Center for Mental Health-Mental Retardation Inc is a Mental Illness Community Based Residential Treatment Facility in Philadelphia, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016
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

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1457896565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Como — Executive Director · (215) 831-2828
NPI enumeratedDecember 28, 2016
Last updated in NPPESDecember 28, 2016
Mailing address4641 Roosevelt Blvd, Philadelphia, PA 19124-2343

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