Provider Demographics
NPI:1497048425
Name:RESOURCES FOR DEVELOPMENT PC
Entity Type:Organization
Organization Name:RESOURCES FOR DEVELOPMENT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:STACK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-546-3304
Mailing Address - Street 1:905 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3230
Mailing Address - Country:US
Mailing Address - Phone:248-546-3304
Mailing Address - Fax:248-546-3305
Practice Address - Street 1:905 S CENTER ST
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3230
Practice Address - Country:US
Practice Address - Phone:248-546-3304
Practice Address - Fax:248-546-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005353103TC0700X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty