Provider Demographics
NPI:1699916965
Name:FAMILY RESOURCES
Entity type:Organization
Organization Name:FAMILY RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FAMILY RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:CHARMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, FPPR
Authorized Official - Phone:412-821-1538
Mailing Address - Street 1:141 S. HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-363-1702
Mailing Address - Fax:412-363-3725
Practice Address - Street 1:141 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3932
Practice Address - Country:US
Practice Address - Phone:412-363-1702
Practice Address - Fax:412-363-3725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126423305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251S00000XOtherHIGHMARK BLUE CROSS