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 F WHITE JR. (PRESIDENT /CFO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
2020 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3832
(215) 596-8100
(215) 382-4405
Mailing address
3801 MARKET STREET, 201, PHILADELPHIA, PA 19104-3153
(215) 596-8100
(215) 382-4405
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230076
—
PA
Enumeration date
07/03/2008
Last updated
07/03/2008
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