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 DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-8343
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
5146A
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
04/09/2018
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