Organization
KIDSPEACE CHILDREN'S HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLACK MBA (COO)
(610) 799-8525
Entity
Organization
Contact information
Practice address
1650 BROADWAY, BETHLEHEM, PA 18015-3904
(800) 854-3123
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8525
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
218750
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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