OrganizationActive
Active Community Support
NPI 1326684010 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Willow Grove, PA
Provider details
- NPI number
- 1326684010
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Nyaga, Executive Director(484) 350-0075
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3505 W Moreland Rd
Willow Grove, PA 19090-3831
Phone: (484) 350-0075
Approximate (ZIP-level) locationGet directions
Mailing address
3505 W Moreland Rd
Willow Grove, PA 19090-3831
Registry dates
- Enumerated
- 2019-11-18
- Last updated
- 2019-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.