Organization
KIDSPEACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN POPOVICH M.ED. (BEHAVIORAL SPECIALIST)
(484) 264-0966
Entity
Organization
Contact information
Practice address
1650 BROADWAY, BETHLEHEM, PA 18015-3904
(610) 799-8222
Mailing address
1409 SEIDERSVILLE RD, BETHLEHEM, PA 18015-4219
(484) 264-0966
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH002162
PA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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