Organization
FELLOWSHIP HEALTH RESOURCES, INC.
Active
Other names
Elwyn Adult Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BUSCH (DIR CONTRACTS & CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
18090 HARBESON RD, MILTON, DE 19968-2841
(302) 684-4400
(302) 684-2943
Mailing address
24 ALBION RD STE 420, LINCOLN, RI 02865-3744
(401) 333-3980
(401) 334-8862
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1703
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000013799
—
DE
Enumeration date
08/15/2006
Last updated
10/28/2024
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