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Organization

KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL W. SLACK (EXEC VP FOR MARKETING & BUSINESS)
(610) 799-8405
Entity
Organization

Contact information

Practice address
5100 LEESBURG PIKE, SUITE 302, ALEXANDRIA, VA 22302-1000
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8343
(610) 799-8318

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0200344
VA
Enumeration date
11/14/2007
Last updated
08/18/2010
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