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West Philadelphia Community Mh Consortium Inc.
Adolescent and Children Mental Health Clinic/Center in Philadelphia, Pennsylvania
NPI 1609993096

West Philadelphia Community Mh Consortium Inc. is an Adolescent and Children Mental Health Clinic/Center based in Philadelphia, PA and is specialized in Adolescent and Children Mental Health. West Philadelphia Community Mh Consortium Inc. practices in Philadelphia, PA. The NPI Number for West Philadelphia Community Mh Consortium Inc. is 1609993096 and holds a License No. 128620 (Pennsylvania).

The current practice location address for West Philadelphia Community Mh Consortium Inc. is 1200 W Allegheny Ave, Philadelphia, PA and can be reached out via phone at 215-596-8100 and via fax at 215-382-4405.

Location: 1200 W Allegheny Ave, Philadelphia, PA, 19104-3153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609993096
Provider Name
West Philadelphia Community Mh Consortium Inc.
Credential
Provider Entity Type
Organization
Address
1200 W Allegheny Ave, Philadelphia, PA, 19104-3153
Phone Number
215-596-8100
Fax Number
215-382-4405
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007155230066 05 PA
institution
Provider Business Practice Location Address Details
Address
1200 W Allegheny Ave
City
Philadelphia
State
Pennsylvania
Zip
19133-1307
Phone Number
215-596-8100
Fax Number
215-382-4405
person
Provider Business Mailing Address Details
Address
1200 W Allegheny Ave
City
Philadelphia
State
Pennsylvania
Zip
19133-1307
Phone Number
215-596-8100
Fax Number
215-382-4405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
128620 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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