# KIDSPEACE MESABI ACADEMY INC

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

## Provider details

- **NPI number:** 1669544987
- **Authorized official:** MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL)
- **Authorized official phone:** (800) 854-3123

## Contact information

- **Practice address:** 200 WANLESS STREET, BUHL, MN 55713
- **Practice address phone:** (888) 270-5013
- **Practice address fax:** (218) 258-3807
- **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 | 10368991CRF | MN | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020