Active Community Support
NPI #1326684010 in Willow Grove, Pennsylvania
Provider Information
- NPI Number
- 1326684010
- Entity Type
- Organization
- Organization Name
- Active Community Support
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 18, 2019
- Last Updated
- Nov 18, 2019
Practice Location
- Address
- 3505 W MORELAND RD
- City
- Willow Grove
- State
- Pennsylvania
- ZIP Code
- 19090-3831
- Phone
- (484) 350-0075
Authorized Official
- Name
- CHARLES K NYAGA, DR
- Title
- EXECUTIVE DIRECTOR
- Phone
- (484) 350-0075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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