Healthcare Provider Details

I. General information

NPI: 1114182912
Provider Name (Legal Business Name): RESOURCES FOR HUMAN DEVELOPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 ALMOND RD
WALNUTPORT PA
18088-9601
US

IV. Provider business mailing address

3606 HECKTOWN RD
BETHLEHEM PA
18020-1304
US

V. Phone/Fax

Practice location:
  • Phone: 610-882-2008
  • Fax: 610-882-2009
Mailing address:
  • Phone: 610-882-2008
  • Fax: 610-882-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number209390
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. BRIAN MATTHEW RHODES
Title or Position: CEO
Credential: ESQ.
Phone: 215-951-0300