Organization
KIDSPEACE NATIONAL CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLACK MBA (COO)
(610) 799-8405
Entity
Organization
Contact information
Practice address
5300 KIDSPEACE DR, OREFIELD, PA 18069-2044
(800) 854-3123
(610) 799-8313
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
206950
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0115
—
PA
Enumeration date
12/05/2016
Last updated
10/19/2017
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