Organization
KIDSPEACE NATIONAL CENTERS OF GEORGIA 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
101 KIDSPEACE DRIVE, BOWDEN, GA 30108
(770) 437-7200
(770) 258-9128
Mailing address
4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CC1001402
GA
Other
Enumeration date
11/14/2006
Last updated
09/26/2007
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