Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE LOUISE JANY (CONTRACT SPECIALIST II)
(610) 799-8473
Entity
Organization
Contact information
Practice address
3109 POPLARWOOD CT STE 310, RALEIGH, NC 27604-1025
(919) 872-6447
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917445
—
NC
Enumeration date
01/10/2013
Last updated
02/21/2013
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