Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn's Children's Residential Treatment & Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (DIR. PAYER CONTRACT & CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2516
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240229
—
PA
Enumeration date
06/07/2007
Last updated
02/14/2025
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