OrganizationActive
Community Outreach Program
NPI 1821453150 · Mental Illness Community Based Residential Treatment Facility · Philadelphia, PA
Provider details
- NPI number
- 1821453150
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Harden, Excutive Director(215) 473-1181
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1311 N 52nd St
Philadelphia, PA 19131-4412
Phone: (215) 473-1181
Fax: (215) 879-2723
Street-level locationGet directions
Mailing address
1311 N 52nd Street
Philadelphia, PA 19131
Registry dates
- Enumerated
- 2015-12-31
- Last updated
- 2015-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.