WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC. NPI 1104135854

NPI Information

WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC. is a community based residential treatment facility mental illness in Philadelphia, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM INC. NPI is 1104135854. The provider is registered as an organization entity type.
The provider Is Doing Business As The Consortium Inc.

The provider's business location address is:

117 S 42ND ST
PHILADELPHIA, PA
ZIP 19104-040
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John White .
The authorized official title is Ceo and has the following contact phone number (215) 596-8100.

The enumeration date for this NPI number is 9/29/2010 and was last updated on 9/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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