Organization
WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM
Active
Other names
The Consortium Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHITE JR. (CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
5205 WEBSTER ST, PHILADELPHIA, PA 19143-2626
(215) 596-8100
Mailing address
3801 MARKET ST, SUITE 201, PHILADELPHIA, PA 19104-3153
(215) 296-8100
(215) 382-4405
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
195570
PA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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