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

Northeast Community Center for MH/MR

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1073882296

Northeast Community Center for MH/MR is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

4641 Roosevelt Blvd Orleans Bldg
Philadelphia, PA 19124-2343
Phone: (215) 831-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 127450 (PA)

Record details

NPI number1073882296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Kaufman — Executive Director · (215) 831-2800
NPI enumeratedDecember 16, 2011
Last updated in NPPESDecember 16, 2011
Mailing address4641 Roosevelt Blvd, Orleans Building, Philadelphia, PA 19124-2343

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