# KIDSPEACE CHILDREN'S HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIDSPEACE CHILDREN'S HOSPITAL, INC.
- **Other names:** KidsPeace Outpatient Mental Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740688423
- **Legal business name:** KIDSPEACE CHILDREN'S HOSPITAL, INC.
- **Authorized official:** MR. MICHAEL W SLACK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (610) 799-8525

## Contact information

- **Practice address:** 451 W. CHEW ST., SUITE 105, ALLENTOWN, PA 18102
- **Practice address phone:** (610) 776-5465
- **Practice address fax:** (610) 663-3270
- **Mailing address:** KIDSPEACE CORPORATION, 4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
- **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 | PA | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 03/06/2019