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Organization

KIDSPEACE NATIONAL CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL W SLACK (COO)
(800) 854-3123
Entity
Organization

Contact information

Practice address
830 WASHINGTON BLVD, UNIT 1, WILLIAMSPORT, PA 17701-5592
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
316050
PA
253J00000X
Foster Care Agency
352300
PA
253J00000X
Foster Care Agency
Primary
352310
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100763290-0113
PA
Enumeration date
02/21/2007
Last updated
07/21/2022
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