Organization
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.
Active
Other names
The Consortium, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TWIGGY RODRIGUEZ (PRESIDENT/CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
2821 ISLAND AVE, PHILADELPHIA, PA 19153-2300
(215) 596-8100
(215) 382-0511
Mailing address
3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1007155230014
PA
251B00000X
Case Management Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230014
—
PA
05
—
1007155230107
—
PA
05
—
1007155230115
—
PA
Enumeration date
03/28/2007
Last updated
04/09/2026
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