OrganizationActive
Resources for Human Development
NPI 1720072366 · Federally Qualified Health Center (FQHC) · Philadelphia, PA
Provider details
- NPI number
- 1720072366
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bob Fishman, Chief Executive Officier(215) 951-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4333 Kelly Dr
1st Floor
Philadelphia, PA 19129-1760
Phone: (215) 843-2580
Fax: (215) 843-4086
Street-level locationGet directions
Mailing address
4700 Wissahickon Ave
Philadelphia, PA 19144-4248
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2008-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.