| Kidspeace National Centers Of North America, Inc. | |
|
2801 Wehrle Dr Ste 13-14 Williamsville NY 14221-7381 | |
| (716) 634-1058 | |
| (716) 634-1735 |
| Full Name | Kidspeace National Centers Of North America, Inc. |
|---|---|
| Speciality | Foster Care Agency |
| Location | 2801 Wehrle Dr Ste 13-14, Williamsville, New York |
| Authorized Official Name and Position | Michale Slack (CEO) |
| 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: (800) 854-3123 | Kidspeace National Centers Of North America, Inc. 2801 Wehrle Dr Ste 13-14 Williamsville NY 14221-7381 Ph: (716) 634-1058 |
| NPI Number | 1104285576 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104285576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | (New York) | Primary |
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