Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W SLACK (EXEC. VP FOR MARKETING & BUSINESS)
(610) 799-8405
Entity
Organization
Contact information
Practice address
3710 UNIVERSITY DR, SUITE 200, DURHAM, NC 27707-6203
(610) 799-8343
(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
251S00000X
Community/Behavioral Health Agency
Primary
5146A
NC
Other
Enumeration date
01/05/2010
Last updated
02/24/2014
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