OrganizationActive
Community Support Services, Inc.
NPI 1124072111 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gaithersburg, MD
Provider details
- NPI number
- 1124072111
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Susan Ingram, President
Practice location
9075 Comprint Ct
Gaithersburg, MD 20877-1306
Phone: (301) 926-2300
Fax: (301) 926-6780
Mailing address
9075 Comprint Ct
Gaithersburg, MD 20877-1306
Registry dates
- Enumerated
- 2006-05-22
- 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.