Provider Demographics
NPI:1619014495
Name:RESOURCES FOR HUMAN DEVELOPMENT
Entity Type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-230-4922
Mailing Address - Street 1:151 W WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3235
Mailing Address - Country:US
Mailing Address - Phone:615-230-4922
Mailing Address - Fax:615-230-4924
Practice Address - Street 1:151 W WINCHESTER ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3235
Practice Address - Country:US
Practice Address - Phone:615-230-4922
Practice Address - Fax:615-230-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL3(20)4M5-026-3249320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities