The Consortium Inc | |
325 N 39th St Philadelphia PA 19104-4656 | |
(215) 382-7522 | |
(215) 382-4405 |
Full Name | The Consortium Inc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 325 N 39th St, 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 3801 Market St Suite 201 Philadelphia PA 19104-3153 Ph: (215) 596-8100 | The Consortium Inc 325 N 39th St Philadelphia PA 19104-4656 Ph: (215) 382-7522 |
NPI Number | 1992822449 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992822449 | NPI | - | NPPES |
1007155230065 | Medicaid | PA |
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