Provider Demographics
NPI:1689715997
Name:RESOURCES FOR HUMAN DEVELOPMENT INC.
Entity Type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELOPMENT INC.
Other - Org Name:NEW PERSPECTIVES CRISIS RESIDENCE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-951-0300
Mailing Address - Street 1:1321 MIDDLE EASTON BELMONT PIKE
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-9599
Mailing Address - Country:US
Mailing Address - Phone:570-992-0879
Mailing Address - Fax:570-992-9410
Practice Address - Street 1:1321 MIDDLE EASTON BELMONT PIKE
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-9599
Practice Address - Country:US
Practice Address - Phone:570-992-0879
Practice Address - Fax:570-992-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA245280251S00000X
PA201570320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000017080236Medicaid