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Penn Residential, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility in New Stanton, PA · enumerated 2013 · authorized official Clyde Williams, C.E.O..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689911554

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Registry record

Entity type Organization (Type 2)
Legal business name Penn Residential, Inc.
Practice address Po Box C, New Stanton, PA, 15672
Fax (724) 635-0746
Enumeration date Jan 11, 2013
Last updated in NPPES Jan 11, 2013

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 444280 (PA) Primary

Authorized official

Name Clyde Williams
Title C.E.O.

Other identifiers

Identifier Type State Issuer
102577794 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Penn Residential, Inc. located?
The practice location on file with NPPES is in New Stanton, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-11.