Organization
KIDSPEACE NATIONAL CENTERS 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
1650 BROADWAY, BETHLEHEM, PA 18015
(800) 854-3123
(610) 799-8318
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
206610
PA
323P00000X
Psychiatric Residential Treatment Facility
207280
PA
323P00000X
Psychiatric Residential Treatment Facility
207350
PA
323P00000X
Psychiatric Residential Treatment Facility
Primary
208140
PA
323P00000X
Psychiatric Residential Treatment Facility
212140
PA
323P00000X
Psychiatric Residential Treatment Facility
221160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090549
—
NJ
05
—
019372200
—
DC
05
—
1007632900055
—
PA
Enumeration date
11/14/2006
Last updated
11/25/2009
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