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Organization
ACTIVE CARE SERVICES
Active
Organization
ACTIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MULINDWA (PRESIDENT)
(718) 354-7863
Entity
Organization
Contact information
Practice address
300 BELLANCA RD, BRICK, NJ 08723-6877
(718) 356-7863
Mailing address
300 BELLANCA RD, BRICK, NJ 08723-6877
(718) 354-7863
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
02/04/2020
Last updated
08/03/2025
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