# KIDSPEACE NATIONAL CENTERS OF GEORGIA 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:** 1417029729
- **Authorized official:** MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL)
- **Authorized official phone:** (800) 854-3123

## Contact information

- **Practice address:** 101 KIDSPEACE DRIVE, BOWDEN, GA 30108
- **Practice address phone:** (770) 437-7200
- **Practice address fax:** (770) 258-9128
- **Mailing address:** 4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
- **Mailing address phone:** (800) 854-3123
- **Mailing address fax:** (610) 799-8318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | CC1001402 | GA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 09/26/2007