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 (PRESIDENT CEO)
(215) 596-8100
Entity
Organization
Contact information
Practice address
325 N 39TH ST, PHILADELPHIA, PA 19104-4656
(215) 382-7522
(215) 382-4405
Mailing address
3801 MARKET ST, SUITE 201, PHILADELPHIA, PA 19104-3153
(215) 596-8100
(218) 382-4405
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
128620
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
128620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007155230065
—
PA
Enumeration date
03/22/2007
Last updated
09/11/2025
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