Provider Demographics
NPI:1952425563
Name:RESOURCES FOR HUMAN DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELOPMENT, INC.
Other - Org Name:LEHIGH VALLEY MEDICAL MOBILE CRISIS SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:BRODERICK
Authorized Official - Last Name:ACKLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,C
Authorized Official - Phone:610-625-2400
Mailing Address - Street 1:65 E ELIZABETH AVE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6518
Mailing Address - Country:US
Mailing Address - Phone:610-882-1355
Mailing Address - Fax:610-882-3635
Practice Address - Street 1:65 E ELIZABETH AVE
Practice Address - Street 2:SUITE 900
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6518
Practice Address - Country:US
Practice Address - Phone:610-882-1355
Practice Address - Fax:610-882-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health