Second Haven Services for Youth Inc.
NPI 1053649178 · Emotionally Disturbed Childrens' Residential Treatment Facility · Tobyhanna, PA
Second Haven Services for Youth Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Tobyhanna, PA (NPI 1053649178).
Provider details
- NPI number
- 1053649178
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Freeman, Executive Director(866) 343-5509
- License
- 223180 (PA)
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 223180 (PA)
Residential Treatment Facilities
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Rose Resiliency Center
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2015-02-09
Frequently asked questions
- What is Second Haven Services for Youth Inc.'s NPI number?
- Second Haven Services for Youth Inc.'s National Provider Identifier (NPI) is 1053649178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Haven Services for Youth Inc.?
- Second Haven Services for Youth Inc. is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Second Haven Services for Youth Inc. located?
- Second Haven Services for Youth Inc.'s practice location on file with NPPES is 633 Lakeside Dr, Tobyhanna, PA 18466-9792.
- What is Second Haven Services for Youth Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Second Haven Services for Youth Inc. is (866) 343-5509.
- Who is the authorized official for Second Haven Services for Youth Inc.?
- The authorized official listed on Second Haven Services for Youth Inc.'s NPPES record is William Freeman, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Haven Services for Youth Inc.'s NPI active?
- Yes — Second Haven Services for Youth Inc.'s NPI (1053649178) is active in the NPPES registry as of the last update on 2015-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.