| Elwyn Adult Crisis Residential | |
|
111 Elwyn Rd Natale-crisis Residential Program Elwyn PA 19063-4622 | |
| (610) 891-2092 | |
| Not Available |
| Full Name | Elwyn Adult Crisis Residential |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 111 Elwyn Rd, Elwyn, Pennsylvania |
| Authorized Official Name and Position | Donna Busch (DIR. OF PAYER CONTRACTING AND CRED) |
| Authorized Official Contact | 4452063028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elwyn Adult Crisis Residential 111 Elwyn Rd Elwyn PA 19063-4622 Ph: (610) 891-2092 | Elwyn Adult Crisis Residential 111 Elwyn Rd Natale-crisis Residential Program Elwyn PA 19063-4622 Ph: (610) 891-2092 |
| NPI Number | 1922148220 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922148220 | NPI | - | NPPES |
| 1000021240313 | Medicaid | PA |
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