Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W SLACK (PRESIDENT AND CEO)
(800) 854-3123
Entity
Organization
Contact information
Practice address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
NV
05
—
000200344
—
VA
05
—
03298780
—
NY
05
—
04341902
—
NY
05
—
200074040A
—
IN
05
—
3404931
—
NC
05
—
8833907
—
NJ
Enumeration date
11/14/2006
Last updated
06/21/2022
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