NPI 1104135854

West Philadelphia Community Mental Health Consortium INC.

Organisation Mental Illness Community Based Residential Treatment Facility Philadelphia, PA

Practice location

Address: 117 S 42nd St, Philadelphia, PA 19104-3040
Phone: (215) 596-8100
Fax: (215) 382-4405
Mailing address: 3801 Market St Suite 201, Philadelphia, PA 19104-3153

Authorised official

Name: John White
Title: Ceo
Phone: (215) 596-8100

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 195570 (PA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Pennsylvania →

Registry record

NPI: 1104135854
Entity type: Organization
NPI issued: 29 Sep 2010
Record last updated: 29 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.