# KIDSPEACE CHILDREN'S HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225559552
- **Authorized official:** MR. MICHAEL SLACK MBA (COO)
- **Authorized official phone:** (610) 799-8525

## Contact information

- **Practice address:** 1650 BROADWAY, BETHLEHEM, PA 18015-3904
- **Practice address phone:** (800) 854-3123
- **Mailing address:** 4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
- **Mailing address phone:** (610) 799-8525
- **Mailing address fax:** (610) 799-8318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 218750 | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 06/27/2017