West Philadelphia Community Mental Health Consortium

NPI 1053620583 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1053620583
Enumeration Date 10/01/2010
Last Updated 10/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN JOHN
Position CEO
Phone (215) 596-8100
Fax
Practice Location
7900 LINDBERG BLVD
PHILADELPHIA PA, 19153, US
Phone (215) 596-8100
Fax
Business Location
3801 MARKET ST
SUITE 201
PHILADELPHIA PA, 19104-3153, US
Phone (215) 596-8100
Fax
Toxanomy
Taxonomy Code 320800000X
License State Pennsylvania
License Number 195570
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According to our database, West Philadelphia Community Mental Health Consortium NPI is 1053620583, taxonomy code is 320800000X and license number is 195570, license state is located at Pennsylvania. West Philadelphia Community Mental Health Consortium physically located at 7900 Lindberg Blvd, Philadelphia PA, 19153. NPI Number 1033115704 has the healthcare provider type.

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1053620583 NPI number is provided on an as is basis without warranty of any kind. 1053620583 is maintained by the National Plan & Provider Enumeration System. The contents of West Philadelphia Community Mental Health Consortium are for informational purposes only.