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 18078
(800) 854-3123
(610) 799-8318
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007632900053
—
PA
Enumeration date
02/21/2007
Last updated
08/22/2020
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