| The Consortium Inc. | |
|
137 S 58th St Fl 2 Philadelphia PA 19139-3134 | |
| (215) 596-8100 | |
| (215) 382-0511 |
| Full Name | The Consortium Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 137 S 58th St Fl 2, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | John F. White (PRESIDENT CEO) |
| Authorized Official Contact | 2155968100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Consortium Inc. 3751 Island Ave Ste 303 Philadelphia PA 19153-3237 Ph: (215) 596-8100 | The Consortium Inc. 137 S 58th St Fl 2 Philadelphia PA 19139-3134 Ph: (215) 596-8100 |
| NPI Number | 1790804284 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790804284 | NPI | - | NPPES |
| 1007155230095 | Medicaid | PA | |
| 1007155230023 | Medicaid | PA |
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