Organization
KIDSPEACE NATIONAL CENTER OF NORTH AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLACK (CHIEF EXECUTIVE OFFICER)
(610) 799-8405
Entity
Organization
Contact information
Practice address
3117 POPLARWOOD CT STE 100, RALEIGH, NC 27604-1040
(919) 872-6447
(919) 872-6671
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(610) 799-7331
(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
05/26/2023
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