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
137 S 58TH ST, SECOND FLOOR, PHILADELPHIA, PA 19139-3134
(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
251B00000X
Case Management Agency
Primary
1007155230005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230005
—
PA
05
—
1007155230090
—
PA
05
—
1007155230122
—
PA
Enumeration date
03/27/2007
Last updated
04/09/2026
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