OrganizationActive
Autism Services, Incorporated
NPI 1063570281 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Raleigh, NC
Provider details
- NPI number
- 1063570281
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Curtis Bass, Executive Director(919) 255-9011
- License
- 092467 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 092467 (NC)
Residential Treatment Facilities
Practice location
5117 Glen Forest Dr
Raleigh, NC 27612-3133
Phone: (919) 782-3353
Fax: (919) 786-0610
Approximate (ZIP-level) locationGet directions
Mailing address
1310 Corporation Pkwy
Raleigh, NC 27610-1363
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.