OrganizationActive
Community Council for Mh/Mr, Inc.
NPI 1649377003 · Community Health Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1649377003
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alex Moore, Ceo(215) 473-7033
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
4900 Wyalusing Ave
Philadelphia, PA 19131-5127
Phone: (215) 473-7033
Fax: (215) 473-5405
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Wyalusing Ave
Philadelphia, PA 19131-5127
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.