# KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396927919
- **Authorized official:** MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL)
- **Authorized official phone:** (610) 799-8405

## Contact information

- **Practice address:** 16 KIDSPEACE WAY, GRAHAM LAKE CAMPUS, ELLSWORTH, ME 04605
- **Practice address phone:** (207) 771-5700
- **Practice address fax:** (207) 667-7169
- **Mailing address:** 4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
- **Mailing address phone:** (610) 799-8543
- **Mailing address fax:** (610) 799-8318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 216402 | ME | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 07/18/2008