Elwyn
Clinic/Center in Allentown, PA. Organization (NPI-2).
NPI number1780811372
StatusActive
Last updated in NPPESFeb 19, 2022
Details
- NPI
- 1780811372
- Entity type
- Organization (NPI-2)
- Legal business name
- Elwyn
- Organization subpart
- No
- Enumeration date
- Jun 22, 2009
- Certification date
- Feb 19, 2022
- Last updated
- Feb 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1347 Hausman RdAllentown, PA 18104-9063
Phone 610-891-2000
Mailing address
111 Elwyn RdElwyn, PA 19063-4622
Phone 610-891-2000
Authorized official
Donna K Busch
Payer Contract Specialist
4452063028
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