Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W SLACK (VP FOR MARKETING & BUSINESS DEVELOP)
(610) 799-8405
Entity
Organization
Contact information
Practice address
604 MAGNOLIA DR, ABERDEEN, NC 28315-2202
(910) 944-2102
(910) 944-2175
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8473
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5146A
NC
Other
Enumeration date
03/06/2009
Last updated
02/26/2013
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