West Philadelphia Community Mh Consortium, INC.
Clinic/Center, Adolescent and Children Mental Health in Philadelphia, PA. Organization (NPI-2).
NPI number1790804284
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1790804284
- Entity type
- Organization (NPI-2)
- Legal business name
- West Philadelphia Community Mh Consortium, INC.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 1007155230023 | PA |
Other names
- The Consortium INC. (Doing Business As)
Practice location
137 S 58th St Fl 2Philadelphia, PA 19139-3134
Phone 215-596-8100 · Fax 215-382-0511
Mailing address
3751 Island Ave Ste 303Philadelphia, PA 19153-3237
Phone 215-596-8100 · Fax 215-382-0511
Other practice locations
2821 Island Ave Ste 106-108
Philadelphia, PA 19153-2300
Philadelphia, PA 19153-2300
Phone 215-596-8100
Authorized official
Twiggy Rodriguez
President Ceo
2155968100
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