Organization
KIDSPEACE NATIONAL CENTERS 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
1620 BROADWAY, BETHLEHEM, PA 18015-3904
(610) 799-8119
(610) 799-8197
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
201990
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
201990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0026
—
PA
Enumeration date
10/28/2008
Last updated
07/21/2022
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