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Organization
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.
Active
Organization
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.
Active
Other names
The Consortium Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TWIGGY RODRIGUEZ (PRESIDENT CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
451 S UNIVERSITY AVE, PHILADELPHIA, PA 19104-4544
(215) 596-8100
(215) 382-4405
Mailing address
3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
1007155230047
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230047
—
PA
Enumeration date
03/23/2007
Last updated
04/09/2026
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