| NPI | 1306962691 |
|---|---|
| Other Name | DELAWARE ELWYN SUPPORTIVE EMPLOYMENT |
| Entity Type | Organization |
| Authorized Contact | DONNA BUSCH Payer And Credentcialing Specialist 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 225CX0006X | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-10-21 |