Organization
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Active
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
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
208541
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61655
—
CT
Enumeration date
03/16/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up