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 WHITE JR. (CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
5429 CHESTNUT ST, PHILADELPHIA, PA 19139-3300
(215) 596-8100
Mailing address
3801 MARKET ST, SUITE 201, PHILADELPHIA, PA 19104-3153
(215) 596-8100
(215) 382-4405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1007155230082
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
1007155230082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100715523 0082
—
PA
Enumeration date
10/25/2007
Last updated
10/25/2007
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