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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
137 S 58TH ST FL 2, PHILADELPHIA, PA 19139-3134
(215) 596-8100
(215) 382-0511
Mailing address
3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007155230023
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/28/2007
Last updated
04/09/2026
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