| Kidspeace National Centers Inc | |
|
100 4th St 1st Floor Honesdale PA 18431-1869 | |
| (570) 253-7910 | |
| (570) 253-7985 |
| Full Name | Kidspeace National Centers Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 4th St, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Michael Callan (CFO) |
| Authorized Official Contact | 6107997517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace National Centers Inc 4085 Independence Drive Schnecksville PA 18078-2574 Ph: (610) 799-8525 | Kidspeace National Centers Inc 100 4th St 1st Floor Honesdale PA 18431-1869 Ph: (570) 253-7910 |
| NPI Number | 1174713101 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174713101 | NPI | - | NPPES |
| 100763290-0026 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 201990 (Pennsylvania) | Primary |
| 253J00000X | Foster Care Agency | 239130 (Pennsylvania) | Secondary |
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