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
451 S UNIVERSITY AVE, PHILADELPHIA, PA 19104-4544
(215) 596-8100
(215) 382-4405
Mailing address
3751 ISLAND AVE STE 303, PHILADELPHIA, PA 19153-3237
(215) 596-8100
(215) 382-0511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
1007155230047
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230047
—
PA
Enumeration date
03/23/2007
Last updated
04/09/2026
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