Organization
KIDSPEACE NATIONAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALLAN (CFO)
(610) 799-7517
Entity
Organization
Contact information
Practice address
4807 JONESTOWN RD, SUITE 241, HARRISBURG, PA 17109-1739
(717) 770-1364
(717) 770-1368
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
306310
PA
253J00000X
Foster Care Agency
Primary
327800
PA
253J00000X
Foster Care Agency
352320
PA
253J00000X
Foster Care Agency
352330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100763290-0097
—
PA
05
—
100763290-0107
—
PA
Enumeration date
02/21/2007
Last updated
07/21/2022
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