Organization
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL)
(800) 854-3123
Entity
Organization
Contact information
Practice address
16 KIDSPEACE WAY, GRAHAM LAKE CAMPUS, ELLSWORTH, ME 04605
(207) 667-0909
(207) 667-6348
Mailing address
4085 INDEPENDENCE DRIVE, SCHENECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
322081
ME
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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