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Organization

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC

Active
Other names
The Consortium, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN F. WHITE JR. (PRESIDENT/CEO)
(215) 596-8100
Entity
Organization

Contact information

Practice address
5205 WEBSTER ST, PHILADELPHIA, PA 19143-2626
(215) 596-8100
(215) 382-0511
Mailing address
3751 ISLAND AVE, SUITE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
195570
PA

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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