OrganizationActive
Community Living, Inc.
NPI 1033835368 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Frederick, MD
Provider details
- NPI number
- 1033835368
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Planz, Chief Executive Officer(301) 663-8811
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
620 B Research Court
Frederick, MD 21703
Phone: (301) 663-8811
Approximate (ZIP-level) locationGet directions
Mailing address
620 B Research Court
Frederick, MD 21703
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.