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Organization
KIDSPEACE NATIONAL CENTER, INC
Active
Organization
KIDSPEACE NATIONAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W SLACK (COO)
(610) 799-8405
Entity
Organization
Contact information
Practice address
500 N CENTRE STREET SUITE 104, POTTSVILLE, PA 17901
(570) 516-9987
(570) 581-5103
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
206180
PA
253J00000X
Foster Care Agency
206200
PA
253J00000X
Foster Care Agency
206210
PA
253J00000X
Foster Care Agency
222190
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
222190
PA
Other
Enumeration date
02/21/2007
Last updated
07/21/2022
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