Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALLAN (CFO)
(610) 799-7517
Entity
Organization
Contact information
Practice address
100 FOURTH STREET,, 1ST FLOOR, HONESDALE, PA 18431-1869
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
239140
PA
251S00000X
Community/Behavioral Health Agency
201990
PA
253J00000X
Foster Care Agency
206140
PA
253J00000X
Foster Care Agency
239130
PA
253J00000X
Foster Care Agency
239140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0106
—
PA
Enumeration date
02/21/2007
Last updated
07/21/2022
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