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Organization

KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND 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
747 WESTERN AVE, SUITE 3, MANCHESTER, ME 04351-3528
(207) 622-1404
(207) 623-7637
Mailing address
4085 INDEPENDENCE DRIVE, SCHENECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
208541
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123430008
ME
Enumeration date
03/14/2007
Last updated
02/17/2010
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