# KIDSPEACE CHILDRENS HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1326173360
- **Authorized official:** MR. MICHAEL W SLACK (COO)
- **Authorized official phone:** (800) 854-3123

## Contact information

- **Practice address:** 1620 BROADWAY, BETHLEHEM, PA 18015-3904
- **Practice address phone:** (610) 799-8600
- **Practice address fax:** (610) 867-9655
- **Mailing address:** 4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
- **Mailing address phone:** (800) 854-3123
- **Mailing address fax:** (610) 799-8318

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 03/06/2019