Basic Information
| Provider Information | |||||||||
| NPI: | 1144463506 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | RESOURCES FOR HUMAN DEVELOPMENT, INC. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | PROGRAM OF WELLNESS, EMPOWERMENT, AND RECOVERY | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 S. 1ST STREET | ||||||||
| Address2: | |||||||||
| City: | LEHIGHTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 182352031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103773940 | ||||||||
| FaxNumber: | 6103774026 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 S. 1ST STREET | ||||||||
| Address2: | |||||||||
| City: | LEHIGHTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 182352031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103773940 | ||||||||
| FaxNumber: | 6103774026 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2009 | ||||||||
| LastUpdateDate: | 04/26/2016 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ROHRER | ||||||||
| AuthorizedOfficialFirstName: | RAYANN | ||||||||
| AuthorizedOfficialMiddleName: | S. | ||||||||
| AuthorizedOfficialTitleorPosition: | REGIONAL DIRECTOR, RHD | ||||||||
| AuthorizedOfficialTelephone: | 4848936100 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | LSW, ACSW | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 220700 | PA | Y | Agencies | Community/Behavioral Health |
No ID Information.