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ROSE RESILIENCY CENTER
NPI 1053649178
Residential Treatment Facility, Emotionally Disturbed Children in Tobyhanna, PA

Active since December 01, 2009
633 LAKESIDE DR, TOBYHANNA, PA 18466(866) 343-5509(866) 343-5509 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Resiliency Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE RESILIENCY CENTER (NPI 1053649178) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Tobyhanna, Pennsylvania and active in the NPI registry since December 2009. The organization lists William Freeman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053649178
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSECOND HAVEN SERVICES FOR YOUTH INC.
Location Address633 LAKESIDE DRTobyhanna, PA 18466-9792
Mailing AddressPo Box 329Mount Pocono, PA 18344-0329 · (866) 343-5509 · Fax (866) 343-5509
Phone(866) 343-5509
Fax(866) 343-5509
Organization SubpartNo
Authorized OfficialWilliam FreemanExecutive Director · (866) 343-5509
Enumeration DateDecember 1, 2009
Last NPPES UpdateFebruary 9, 2015
✔ NPI 1053649178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in PA · 221370
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.
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X · License MD037460L (PA)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 223180 (PA)
633 LAKESIDE DR, Tobyhanna, PA 18466
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Other Names 1

Doing Business AsRose Resiliency Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Haven Services For Youth Inc.'s NPI number?

The NPI number for Second Haven Services For Youth Inc. is 1053649178. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Rose Resiliency Center.

Where is Second Haven Services For Youth Inc. located?

Second Haven Services For Youth Inc. is located at 633 Lakeside Dr, Tobyhanna, PA 18466. The listed phone number is (866) 343-5509.

What is Second Haven Services For Youth Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Second Haven Services For Youth Inc. was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.