Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W. SLACK (VP FOR MARKETING & BUSINESS DEVELOP)
(800) 854-3123
Entity
Organization
Contact information
Practice address
301 BROADWAY STE 4B, BETHLEHEM, PA 18015-1559
(610) 799-8350
(610) 799-7042
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
206950
PA
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
207080
PA
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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