Healthcare Provider Details

I. General information

NPI: 1356204465
Provider Name (Legal Business Name): MATERNAL CHILD CONSORTIUM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 JACKSONVILLE RD
WARMINSTER PA
18974-4872
US

IV. Provider business mailing address

800 CLARMONT AVE SUITE B
BENSALEM PA
19020-5705
US

V. Phone/Fax

Practice location:
  • Phone: 267-525-7000
  • Fax: 267-525-7010
Mailing address:
  • Phone: 267-525-7000
  • Fax: 267-525-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH W. BROWNELL
Title or Position: CEO
Credential: R.P.H.
Phone: 267-525-7000