Organization
ELWYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (PAYER CONTRACT SPECIALIST)
(445) 206-3028
Entity
Organization
Contact information
Practice address
1347 HAUSMAN RD, ALLENTOWN, PA 18104-9063
(610) 891-2000
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/22/2009
Last updated
02/19/2022
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