| Kidspeace National Centers Of North America Inc | |
|
3035 Boone Trail Ext Ste H Fayetteville NC 28304-3860 | |
| (910) 223-0949 | |
| (910) 223-9626 |
| Full Name | Kidspeace National Centers Of North America Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3035 Boone Trail Ext Ste H, Fayetteville, North Carolina |
| Authorized Official Name and Position | Michael Slack (CHIEF OPERATING OFFICER) |
| 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 Dr Schnecksville PA 18078-2574 Ph: (610) 799-8343 | Kidspeace National Centers Of North America Inc 3035 Boone Trail Ext Ste H Fayetteville NC 28304-3860 Ph: (910) 223-0949 |
| NPI Number | 1487894200 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 04/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487894200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5146A (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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