Penn Residential, Inc.
NPI #1689911554 in New Stanton, Pennsylvania
Provider Information
- NPI Number
- 1689911554
- Entity Type
- Organization
- Organization Name
- Penn Residential, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 11, 2013
- Last Updated
- Jan 11, 2013
Practice Location
- Address
- PO BOX C
- City
- New Stanton
- State
- Pennsylvania
- ZIP Code
- 15672-0417
- Phone
- (724) 635-0048
Authorized Official
- Name
- CLYDE WILLIAMS
- Title
- C.E.O.
- Phone
- (724) 635-0048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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