| Kidspeace National Centers Of North America Inc | |
|
604 Magnolia Dr Aberdeen NC 28315-2202 | |
| (910) 994-2102 | |
| (910) 944-2175 |
| Full Name | Kidspeace National Centers Of North America Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 604 Magnolia Dr, Aberdeen, North Carolina |
| Authorized Official Name and Position | Michael W Slack (VP FOR MARKETING AND BUSINESS DEVEL) |
| Authorized Official Contact | 8008543123 |
| 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: (800) 854-3123 | Kidspeace National Centers Of North America Inc 604 Magnolia Dr Aberdeen NC 28315-2202 Ph: (910) 994-2102 |
| NPI Number | 1861511172 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861511172 | NPI | - | NPPES |
| 8301434B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5146A (North Carolina) | Primary |
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Kidspeace National Centers Of North America Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Magnolia Dr, Aberdeen, NC 28315 Phone: 910-944-2102 Fax: 910-944-2175 | |
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