| Kidspeace National Centers Of New England Inc | |
|
16 Kidspeace Way Ellsworth ME 04605 | |
| (207) 667-0909 | |
| (207) 664-6122 |
| Full Name | Kidspeace National Centers Of New England Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 16 Kidspeace Way, Ellsworth, Maine |
| Authorized Official Name and Position | Michael W Slack (VP FOR MARKETING AND BUS DEV) |
| Authorized Official Contact | 8008543123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace National Centers Of New England Inc 4085 Independence Drive Schnecksville PA 18078 Ph: (800) 854-3123 | Kidspeace National Centers Of New England Inc 16 Kidspeace Way Ellsworth ME 04605 Ph: (207) 667-0909 |
| NPI Number | 1619185113 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619185113 | NPI | - | NPPES |
| 123430103 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 322081 (Maine) | Primary |
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