Organization
WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC
Active
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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