Provider Demographics
NPI:1922367986
Name:RESOURCES FOR HUMAN DEVELPMENT, INC
Entity Type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-951-0300
Mailing Address - Street 1:4700 WISSAHICKON AVENUE
Mailing Address - Street 2:SUITE 126
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4248
Mailing Address - Country:US
Mailing Address - Phone:215-951-0300
Mailing Address - Fax:877-386-3756
Practice Address - Street 1:5201 OLD YORK ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2985
Practice Address - Country:US
Practice Address - Phone:214-324-7386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESOURCES FOR HUMAN DEVELOPMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-11
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA138730251S00000X, 261Q00000X
138340251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251S00000XAgenciesCommunity/Behavioral Health