Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Young Adult Residential Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (DIRECTOR PAYER CONTRACTING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
111 ELWYN RD, MEDIA, PA 19063-4622
(610) 891-7317
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-7079
(610) 891-2694
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240728
—
PA
Enumeration date
12/06/2017
Last updated
08/28/2025
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