Organization · NPI-2

Active Health Services, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Washington, DC

NPI number1447967658

StatusActive

Last updated in NPPESOct 28, 2022

Details

NPI: 1447967658
Entity type: Organization (NPI-2)
Legal business name: Active Health Services, INC
Organization subpart: No
Enumeration date: Oct 28, 2022
Certification date: Oct 28, 2022
Last updated: Oct 28, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
172V00000X	Community Health Worker	–	–
251E00000X	Home Health	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–
3245S0500X	Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Practice location

2915 Rhode Island Ave Ne
Washington, DC 20018-2943

Phone 202-763-2290

Mailing address

5722 Little Spring Way
Frederick, MD 21704-6704

Phone 202-763-2290

Authorized official

Shadrack Joram Bampebuye
Ceo
2027632290

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