| Kidspeace National Centers Inc | |
|
101 Pittston Ave First Floor, Ste. 3 Scranton PA 18505-1150 | |
| (800) 854-3123 | |
| (610) 799-9318 |
| Full Name | Kidspeace National Centers Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Pittston Ave, Scranton, 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 Dr Schnecksville PA 18078 Ph: (800) 854-3123 | Kidspeace National Centers Inc 101 Pittston Ave First Floor, Ste. 3 Scranton PA 18505-1150 Ph: (800) 854-3123 |
| NPI Number | 1215072004 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215072004 | NPI | - | NPPES |
| 100763290-0026 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 201990 (Pennsylvania) | Primary |
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