Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLACK (CHIEF OPERATING OFFICER)
(610) 799-8405
Entity
Organization
Contact information
Practice address
3035 BOONE TRAIL EXT STE H, FAYETTEVILLE, NC 28304-3860
(910) 223-0949
(910) 223-9626
Mailing address
4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
(610) 799-8543
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
253J00000X
Foster Care Agency
5146A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005431
—
NC
Enumeration date
02/20/2007
Last updated
04/06/2018
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