Organization
KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SLACK (CHIEF EXECUTIVE OFFICER)
(610) 799-8405
Entity
Organization
Contact information
Practice address
400 W RANSOM ST, FUQUAY VARINA, NC 27526-2434
(877) 888-7849
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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