| NPI | 1942403092 |
|---|---|
| Other Name | ELWYN'S CHILDREN'S RESIDENTIAL TREATMENT & LEARNING CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA K BUSCH Dir. Payer Contract & Credentialing 445-206-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-04-22 |