ELWYN NEW JERSEY; NPI #1376070003

Contact Information

ELWYN NEW JERSEY

1204 11TH STREET
FOLSOM, NJ 08037

Phone: 609-561-9304
Fax: 609-561-7568
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for ELWYN NEW JERSEY

NPI #	`1376070003`
LBN Legal business name	ELWYN NEW JERSEY
Authorized official	WILLIAM HARTLEY - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/12/2017
Last updated	08/12/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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