Provider Demographics
NPI:1124115589
Name:RESOURCES FOR HUMAN DEVELOPMENT, INC
Entity type:Organization
Organization Name:RESOURCES FOR HUMAN DEVELOPMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AAIK
Authorized Official - Middle Name:E
Authorized Official - Last Name:VAN MUNSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-882-2008
Mailing Address - Street 1:3606 HECKTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-1304
Mailing Address - Country:US
Mailing Address - Phone:610-882-2008
Mailing Address - Fax:610-882-2009
Practice Address - Street 1:3606 HECKTOWN RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1304
Practice Address - Country:US
Practice Address - Phone:610-882-2008
Practice Address - Fax:610-882-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA238660320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000017080204Medicaid