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Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
Active
Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W. SLACK (EXEC VP FOR MARKETING & BUSINESS)
(610) 799-8405
Entity
Organization
Contact information
Practice address
5100 LEESBURG PIKE, SUITE 302, ALEXANDRIA, VA 22302-1000
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8343
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200344
—
VA
Enumeration date
11/14/2007
Last updated
08/18/2010
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