Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Adult Crisis Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BUSCH (DIR. OF PAYER CONTRACTING AND CRED)
(445) 206-3028
Entity
Organization
Contact information
Practice address
111 ELWYN RD, NATALE-CRISIS RESIDENTIAL PROGRAM, 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
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240313
—
PA
Enumeration date
02/07/2007
Last updated
05/01/2024
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