# WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.

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

## Provider details

- **NPI number:** 1891974929
- **Authorized official:** MR. JOHN WHITE JR. (CEO)
- **Authorized official phone:** (215) 596-8100

## Contact information

- **Practice address:** 5429 CHESTNUT ST, PHILADELPHIA, PA 19139-3300
- **Practice address phone:** (215) 596-8100
- **Mailing address:** 3801 MARKET ST, SUITE 201, PHILADELPHIA, PA 19104-3153
- **Mailing address phone:** (215) 596-8100
- **Mailing address fax:** (215) 382-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 1007155230082 | PA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 1007155230082 | PA | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 10/25/2007