NPI 1053649178

Second Haven Services for Youth INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tobyhanna, PA

Practice location

Address: 633 Lakeside Dr, Tobyhanna, PA 18466-9792
Phone: (866) 343-5509
Fax: (866) 343-5509
Mailing address: PO Box 329, Mount Pocono, PA 18344-0329

Authorised official

Name: William Freeman
Title: Executive Director
Phone: (866) 343-5509

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 221370 (PA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Pennsylvania →

Prescribing (Medical) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP0016X Licence MD037460L (PA)

Other Psychologist providers in Pennsylvania →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 223180 (PA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Registry record

NPI: 1053649178
Entity type: Organization
NPI issued: 1 Dec 2009
Record last updated: 9 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.