| Kidspeace National Centers Of North America, Inc | |
|
1804 Martin Luther King Pkwy Suite 112 Durham NC 27707-3587 | |
| (919) 489-8038 | |
| (919) 493-1967 |
| Full Name | Kidspeace National Centers Of North America, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1804 Martin Luther King Pkwy, Durham, North Carolina |
| Authorized Official Name and Position | James Joseph Horan (CHIEF FINANCIAL OFFICER5) |
| 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 Dr Schnecksville PA 18078-2574 Ph: (800) 854-3123 | Kidspeace National Centers Of North America, Inc 1804 Martin Luther King Pkwy Suite 112 Durham NC 27707-3587 Ph: (919) 489-8038 |
| NPI Number | 1467706077 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467706077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5146A (North Carolina) | Primary |
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