Organization
SALT SPECIAL NEEDS ( SC)
Active
Parent organization
RESOURCES FOR HUMAN DEVELOPMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESOURCES FOR HUMAN DEVELOPMENT, INC
Authorized official
DYANN ROTH (CEO)
(215) 951-0300
Entity
Organization
Contact information
Practice address
6604 GLENLOCH ST, PHILADELPHIA, PA 19135-2719
(215) 951-0300
Mailing address
4700 WISSAHICKON AVE, SUITE 126, PHILADELPHIA, PA 19144-4248
(215) 951-0300
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001708
—
PA
Enumeration date
01/20/2014
Last updated
01/20/2014
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