Second Haven Services for Youth Inc.
NPI #1053649178 in Tobyhanna, Pennsylvania
Provider Information
- NPI Number
- 1053649178
- Entity Type
- Organization
- Organization Name
- Second Haven Services for Youth Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 1, 2009
- Last Updated
- Feb 9, 2015
Practice Location
- Address
- 633 LAKESIDE DR
- City
- Tobyhanna
- State
- Pennsylvania
- ZIP Code
- 18466-9792
- Phone
- (866) 343-5509
Authorized Official
- Name
- MR. WILLIAM FREEMAN IV, MBA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (866) 343-5509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
| Residential Treatment Facility, Emotionally Disturbed Children |
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