NPI: 1407179260
Provider Name: WEST PHILA MN HLTH CONSORTIUM, INC
Doing Business As: THE CONSORTIUM, INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
Address:
5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 748-8400
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WEST PHILA MN HLTH CONSORTIUM, INC is an adult mental health clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WEST PHILA MN HLTH CONSORTIUM, INC NPI is 1407179260. 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:
5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139-205
Phone: (215) 748-8400
Fax: (215) 748-8877
The provider's authorized official is Patricia A Booker .
The authorized official title is Acting Ceo/personnel Director and has the following contact phone number (215) 596-8100.
The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.