# WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Consortium Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790804284
- **Authorized official:** TWIGGY RODRIGUEZ (PRESIDENT CEO)
- **Authorized official phone:** (215) 596-8100

## Contact information

- **Practice address:** 137 S 58TH ST FL 2, PHILADELPHIA, PA 19139-3134
- **Practice address phone:** (215) 596-8100
- **Practice address fax:** (215) 382-0511
- **Mailing address:** 3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
- **Mailing address phone:** (215) 596-8100
- **Mailing address fax:** (215) 382-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 1007155230023 | PA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 04/09/2026