Organization
KIDSPEACE NATIONAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CALLAN (CFO)
(610) 799-7517
Entity
Organization
Contact information
Practice address
5300 KIDSPEACE DRIVE, OREFIELD, PA 18069
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
(610) 799-8543
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
207050
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002673000
—
WV
05
—
047350400
—
DC
05
—
100763290-0054
—
PA
05
—
132770400
—
WY
05
—
418658300
—
MD
05
—
8386803
—
NJ
Enumeration date
02/21/2007
Last updated
11/30/2017
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