Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Crisis Services Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (DIR. OF CONTRACTING CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
3300 HENRY AVE STE 401, PHILADELPHIA, PA 19129-1121
(267) 673-3383
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-7079
(610) 891-2964
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
143430
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240674
—
PA
Enumeration date
01/11/2018
Last updated
04/08/2024
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