# ACTIVE COMMUNITY SUPPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326684010
- **Authorized official:** CHARLES K NYAGA DR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (484) 350-0075

## Contact information

- **Practice address:** 3505 W MORELAND RD, WILLOW GROVE, PA 19090-3831
- **Practice address phone:** (484) 350-0075
- **Mailing address:** 3505 W MORELAND RD, WILLOW GROVE, PA 19090-3831
- **Mailing address phone:** (484) 350-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 11/18/2019