OrganizationActive
Alive Wellness Home, Inc
NPI 1003754797 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Germantown, MD
Provider details
- NPI number
- 1003754797
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Chantal Hlontor, President
Practice location
12312 Quail Woods Dr
Germantown, MD 20874-1542
Phone: (240) 421-8408
Mailing address
12312 Quail Woods Dr
Germantown, MD 20874-1542
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.