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 FL 2, PHILADELPHIA, PA 19139-3134
(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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1007155230023
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230023
—
PA
05
—
1007155230095
—
PA
05
—
1007155230121
—
PA
Enumeration date
03/28/2007
Last updated
04/09/2026
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