| Kidspeace National Centers Of North America Inc | |
|
604 Magnolia Drive Aberdeen NC 28315 | |
| (800) 854-3123 | |
| (610) 799-8318 |
| Full Name | Kidspeace National Centers Of North America Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 604 Magnolia Drive, Aberdeen, North Carolina |
| Authorized Official Name and Position | Michaek W Slack (VP FOR MARKETING & BUSINESS DEVELOP) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace National Centers Of North America Inc 4085 Independence Drive Schnecksville PA 18078 Ph: (610) 799-8543 | Kidspeace National Centers Of North America Inc 604 Magnolia Drive Aberdeen NC 28315 Ph: (800) 854-3123 |
| NPI Number | 1518002203 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518002203 | NPI | - | NPPES |
| 6005407 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5146A (North Carolina) | Primary |
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