Organization · Type 2 NPI

West Philadelphia Community Mental Health Consortium Inc.

Mental Illness Community Based Residential Treatment Facility · Philadelphia, PA

NPI number 1104135854 Active

Practice location

117 S 42nd St
Philadelphia, PA 19104-3040

Call (215) 596-8100 Map

Fax (215) 382-4405

Mailing address

3801 Market St, Suite 201
Philadelphia, PA 19104-3153

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X195570 (PA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1104135854

West Philadelphia Community Mental Health Consortium Inc.'s National Provider Identifier is 1104135854, issued on Sep 29, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 29, 2010.