Healthcare Provider Details

I. General information

NPI: 1669347324
Provider Name (Legal Business Name): HUMAN RESOURCE DEVELOPMENT FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ADAMS ST
FAIRMONT WV
26554-0150
US

IV. Provider business mailing address

320 ADAMS ST
FAIRMONT WV
26554-0150
US

V. Phone/Fax

Practice location:
  • Phone: 304-476-2877
  • Fax:
Mailing address:
  • Phone: 304-476-2877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DARCIE LYNN SCOTT
Title or Position: COORDINATOR
Credential: BS, PSYCHOLOGY
Phone: 304-476-2877