Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penn Residential, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1689911554

Penn Residential, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in New Stanton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box C
New Stanton, PA 15672-0417
Phone: (724) 635-0048
Fax: (724) 635-0746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 444280 (PA)

Record details

NPI number1689911554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clyde Williams — C.E.O. · (724) 635-0048
NPI enumeratedJanuary 11, 2013
Last updated in NPPESJanuary 11, 2013
Mailing addressPo Box C, New Stanton, PA 15672-0417