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Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Zenith Children's RTF
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BUSCH (PAYER CONTRACT SPECIALIST)
(106) 639-6932
Entity
Organization
Contact information
Practice address
111 ELWYN RD, ZENITH CHILDREN'S RTF, ELWYN, PA 19063-4622
(610) 891-2342
Mailing address
111 ELWYN RD, ZENITH CHILDREN'S RTF, ELWYN, PA 19063-4622
(302) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240229
—
PA
Enumeration date
08/08/2019
Last updated
02/09/2022
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