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Second Haven Services For Youth Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Tobyhanna, Pennsylvania
NPI 1053649178

Second Haven Services For Youth Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Mount Pocono, PA. Second Haven Services For Youth Inc. practices in Tobyhanna, PA. The NPI Number for Second Haven Services For Youth Inc. is 1053649178 and holds a License No. MD037460L (Pennsylvania).

The current practice location address for Second Haven Services For Youth Inc. is 633 Lakeside Dr, Tobyhanna, PA and can be reached out via phone at 866-343-5509 and via fax at 866-343-5509.

Location: 633 Lakeside Dr, Tobyhanna, PA, 18344-0329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053649178
Provider Name
Second Haven Services For Youth Inc.
Credential
Provider Entity Type
Organization
Address
633 Lakeside Dr, Tobyhanna, PA, 18344-0329
Phone Number
866-343-5509
Fax Number
866-343-5509
Provider Enumeration Date
12/01/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
633 Lakeside Dr
City
Tobyhanna
State
Pennsylvania
Zip
18466-9792
Phone Number
866-343-5509
Fax Number
866-343-5509
person
Provider Business Mailing Address Details
Address
633 Lakeside Dr
City
Tobyhanna
State
Pennsylvania
Zip
18466-9792
Phone Number
866-343-5509
Fax Number
866-343-5509
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
221370 (Pennsylvania)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
223180 (Pennsylvania)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MD037460L (Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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