Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA 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
604 MAGNOLIA DR, ABERDEEN, NC 28315-2202
(910) 994-2102
(910) 944-2175
Mailing address
4085 INDEPENDENCE DRIVE, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5146A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301434B
—
NC
Enumeration date
03/28/2007
Last updated
02/26/2013
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