Provider Demographics
NPI:1801842687
Name:RESOURCES FOR HUMAN DEVELOPMENT
Entity Type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELOPMENT
Other - Org Name:FAMILY PRACTICE AND COUNSELING NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:MIRELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:215-843-9729
Mailing Address - Street 1:723 PRESTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3827
Mailing Address - Country:US
Mailing Address - Phone:215-300-6694
Mailing Address - Fax:215-298-9502
Practice Address - Street 1:3205 DEFENSE TER
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1110
Practice Address - Country:US
Practice Address - Phone:215-843-9720
Practice Address - Fax:215-298-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008180261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health