| Elwyn Crisis Services Philadelphia | |
|
3300 Henry Ave Ste 401 Philadelphia PA 19129-1121 | |
| (267) 673-3383 | |
| Not Available |
| Full Name | Elwyn Crisis Services Philadelphia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3300 Henry Ave Ste 401, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Donna K Busch (DIR. OF CONTRACTING CREDENTIALING) |
| Authorized Official Contact | 4452063028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elwyn Crisis Services Philadelphia 111 Elwyn Rd Elwyn PA 19063-4622 Ph: (610) 891-7079 | Elwyn Crisis Services Philadelphia 3300 Henry Ave Ste 401 Philadelphia PA 19129-1121 Ph: (267) 673-3383 |
| NPI Number | 1225546245 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225546245 | NPI | - | NPPES |
| 1000021240674 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 143430 (Pennsylvania) | Primary |
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