West Philadelphia Community Mh Consortium, Inc.
Specialty details in registry · Philadelphia, PA
At a glance
137 S 58Th St Fl 2, Philadelphia, PA 19139-3134
NPPES record updated Apr 9, 2026. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
137 S 58Th St Fl 2Philadelphia, PA 19139-3134
Additional reported practice locations
2821 Island Ave Ste 106-108Philadelphia, PA 191532300
Phone: 2155968100
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0855X
- Enumeration date
- Mar 28, 2007
- Record updated
- Apr 9, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0855X
License reported: 1007155230023 PA
Specialty details in registry
261QM0855X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
137 S 58Th St Fl 2Philadelphia, PA 19139-3134
- Phone
- (215) 596-8100
- Fax
- (215) 382-0511
Mailing address
3751 ISLAND AVE STE 303PHILADELPHIA, PA 191533237
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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