Organization
SALT SPECIAL NEEDS DJ
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 M ROTH (CEO)
(215) 951-0300
Entity
Organization
Contact information
Practice address
7048 CITY AVE, PHILADELPHIA, PA 19151-2317
(215) 951-0300
Mailing address
4700 WISSAHICKON AVE, SUITE 126, PHILADELPHIA, PA 19144-4248
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
01/28/2014
Last updated
01/28/2014
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