Organization
WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC.
Active
Other names
The Consortium Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WHITE JR. (CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
117 S 42ND ST, PHILADELPHIA, PA 19104-3040
(215) 596-8100
(215) 382-4405
Mailing address
3801 MARKET ST, SUITE 201, PHILADELPHIA, PA 19104-3153
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
195570
PA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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