West Philadelphia Community Mh Consortium Inc
West Philadelphia Community Mh Consortium Inc provides Forensic Psychiatry Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1801 Vine StPhiladelphia, PA 19103-1117
Phone: (215) 596-8100
Fax: (215) 382-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Forensic Psychiatry Physician (primary) | Taxonomy 2084F0202X · Licence 1007155230075 (PA) |
|---|
Record details
| NPI number | 1588786487 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John White — President Ceo · (215) 596-8100 |
| Other names | The Consortium Inc. |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3801 Market St, Suite 201, Philadelphia, PA 19104-3153 |
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