Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Adult Residential Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BUSCH (DIR PAYER CONTRACTING/CEDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
111 ELWYN RD, NATALE-ADULT RTF, ELWYN, PA 19063-4622
(610) 891-2092
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2092
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240496
—
PA
Enumeration date
02/06/2007
Last updated
05/01/2024
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