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Organization

FELLOWSHIP HEALTH RESOURCES, INC.

Active
Other names
Elwyn Adult Behavioral Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA BUSCH (DIR. OF CONTRACTS AND CREDENTIALING)
(445) 206-3028
Entity
Organization

Contact information

Practice address
24 ALBION RD STE 420, LINCOLN, RI 02865-3744
(401) 333-3980
(401) 333-3984
Mailing address
24 ALBION RD STE 420, LINCOLN, RI 02865-3744
(401) 333-3980
(401) 333-3984

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PA
261Q00000X
Clinic/Center
Primary
134980
PA
261QM0850X
Adult Mental Health Clinic/Center
134980
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200001826-0000
DE
Enumeration date
01/25/2011
Last updated
07/18/2025
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