Provider Demographics
NPI:1689915597
Name:HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC
Entity Type:Organization
Organization Name:HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC
Other - Org Name:HRDI CHILD AND ADOLESCENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CONTRACTS AND BUDGETS
Authorized Official - Prefix:
Authorized Official - First Name:RENZY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-441-9009
Mailing Address - Street 1:222 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5603
Mailing Address - Country:US
Mailing Address - Phone:312-441-9009
Mailing Address - Fax:312-441-9019
Practice Address - Street 1:30 E 112TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-4914
Practice Address - Country:US
Practice Address - Phone:773-468-2908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-04
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL04073251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health