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Organization

ELWYN OF PENNSYLVANIA AND DELAWARE

Active
Other names
New Vision Psychiatric Rehabilitation, Elwyn
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA K BUSCH (PAYER CONTRACT SPECIALIST)
(445) 206-3028
Entity
Organization

Contact information

Practice address
4017 LUDLOW ST, PHILADELPHIA, PA 19104-3085
(610) 891-2092
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2006

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000021240389
PA
Enumeration date
06/06/2008
Last updated
01/15/2026
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