Second Haven Services for Youth Inc
Second Haven Services for Youth Inc is a Prescribing (Medical) Psychologist in Tobyhanna, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.
- Licensed in
- PA
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
633 Lakeside DrTobyhanna, PA 18466-9792
Phone: (866) 343-5509
Fax: (866) 343-5509
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 221370 (PA) |
|---|---|
| Prescribing (Medical) Psychologist | Taxonomy 103TP0016X · Licence MD037460L (PA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 223180 (PA) |
Record details
| NPI number | 1053649178 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Freeman — Executive Director · (866) 343-5509 |
| Other names | Rose Resiliency Center |
| NPI enumerated | December 1, 2009 |
| Last updated in NPPES | February 9, 2015 |
| Mailing address | Po Box 329, Mount Pocono, PA 18344-0329 |