Organization
ELWYN
Active
Other names
Childrens's ICM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL REARDON MBA (CFO)
(610) 891-2000
Entity
Organization
Contact information
Practice address
1347 HAUSMAN RD, CHILDREN'S ICM, ALLENTOWN, PA 18104-9063
(610) 891-2000
Mailing address
111 ELWYN RD, CHILDREN'S ICM, ELWYN, PA 19063-4622
(610) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
11/03/2008
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