institution
West Philadelphia Community Mental Health Consortium, Inc
Adolescent and Children Mental Health Clinic/Center in Philadelphia, Pennsylvania
NPI 1992822449

West Philadelphia Community Mental Health 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 Mental Health Consortium, Inc practices in Philadelphia, PA. The NPI Number for West Philadelphia Community Mental Health Consortium, Inc is 1992822449 and holds a License No. 128620 (Pennsylvania).

The current practice location address for West Philadelphia Community Mental Health Consortium, Inc is 325 N 39Th St, Philadelphia, PA and can be reached out via phone at 215-382-7522 and via fax at 215-382-4405.

Location: 325 N 39Th St, Philadelphia, PA, 19104-3153
institution
Provider Profile Details
NPI Number
1992822449
Provider Name
West Philadelphia Community Mental Health Consortium, Inc
Credential
Provider Entity Type
Organization
Address
325 N 39Th St, Philadelphia, PA, 19104-3153
Phone Number
215-382-7522
Fax Number
215-382-4405
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007155230065 05 PA
institution
Provider Business Practice Location Address Details
Address
325 N 39Th St
City
State
Zip
19104-4656
Phone Number
215-382-7522
Fax Number
215-382-4405
person
Provider Business Mailing Address Details
Address
325 N 39Th St
City
State
Zip
19104-4656
Phone Number
215-382-7522
Fax Number
215-382-4405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
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 adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
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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