Organization
KIDSPEACE MESABI ACADEMY 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
200 WANLESS STREET, BUHL, MN 55713
(888) 270-5013
(218) 258-3807
Mailing address
4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
10368991CRF
MN
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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