| Kidspeace Children's Hospital, Inc. | |
|
1650 Broadway Bethlehem PA 18015-3904 | |
| (800) 854-3123 | |
| Not Available |
| Full Name | Kidspeace Children's Hospital, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1650 Broadway, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Michael Slack (COO) |
| Authorized Official Contact | 6107998525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Children's Hospital, Inc. 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (610) 799-8525 | Kidspeace Children's Hospital, Inc. 1650 Broadway Bethlehem PA 18015-3904 Ph: (800) 854-3123 |
| NPI Number | 1225559552 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225559552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 218750 (* (Not Available)) | Primary |
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