Organization
RESOURCES FOR HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERT FISHMAN MSW (EXECUTIVE DIRECTOR)
(215) 951-0300
Entity
Organization
Contact information
Practice address
3653 N 15TH ST, PHILADELPHIA, PA 19140-4137
(215) 228-2323
(215) 228-3188
Mailing address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 951-0300
(215) 951-0312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
1000017080165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017080165
—
PA
05
—
1000017080232
—
PA
Enumeration date
12/22/2006
Last updated
09/16/2009
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