Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
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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