OrganizationActive
Autism Services, Incorporated
NPI 1376601419 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Raleigh, NC
Provider details
- NPI number
- 1376601419
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Curtis Bass, Executive Director
- License
- 092091 (NC)
Practice location
6501 Jade Tree Ln
Raleigh, NC 27615-6914
Phone: (919) 954-0560
Fax: (919) 877-0801
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.