Organization
KIDSPEACE NATIONAL CENTERS OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HORAN (EVP/CFO)
(610) 799-8552
Entity
Organization
Contact information
Practice address
101 KIDSPEACE DR, BOWDON, GA 30108-3447
(770) 437-7200
(770) 258-9128
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
022-672-D
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848487220A
—
GA
Enumeration date
01/08/2008
Last updated
09/22/2015
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