| NPI | 1639219207 |
|---|---|
| Other Name | ELWYN ADULT RESIDENTIAL TREATMENT FACILITY |
| Entity Type | Organization |
| Authorized Contact | DONNA BUSCH Dir Payer Contracting/Cedentialing 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-05-01 |