Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Zenith Children's RTF
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BUSCH (PAYER CONTRACT SPECIALIST)
(106) 639-6932
Entity
Organization
Contact information
Practice address
111 ELWYN RD, ZENITH CHILDREN'S RTF, ELWYN, PA 19063-4622
(610) 891-2342
Mailing address
111 ELWYN RD, ZENITH CHILDREN'S RTF, ELWYN, PA 19063-4622
(302) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240229
—
PA
Enumeration date
08/08/2019
Last updated
02/09/2022
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