Elwyn Of Pennsylvania And Delaware
Community/Behavioral Health in Philadelphia, PA. Organization (NPI-2).
NPI number1366091340
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1366091340
- Entity type
- Organization (NPI-2)
- Legal business name
- Elwyn Of Pennsylvania And Delaware
- Organization subpart
- No
- Enumeration date
- Sep 11, 2019
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Partners In Recovery (Other Name)
Practice location
4040 Market StPhiladelphia, PA 19104-3003
Phone 215-895-5588
Mailing address
111 Elwyn RoadAttn: Partners In Recovery
Media, PA 19063-4622
Phone 215-895-5588
Authorized official
Donna K Busch
Payer Contract Specialist
4452063028
Is something wrong?
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