Organization
WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC.
Active
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
451 S UNIVERSITY AVE, PHILADELPHIA, PA 19104-4544
(215) 596-8100
(215) 382-4405
Mailing address
3801 MARKET ST, PHILADELPHIA, PA 19104-3153
(215) 596-8100
(215) 382-4405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
128620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230026
—
PA
Enumeration date
11/01/2007
Last updated
11/01/2007
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