Kidspeace Services Inc | |
633 B Brevard Avenue Cocoa FL 32922 | |
(321) 631-7740 | |
(321) 631-7741 |
Full Name | Kidspeace Services Inc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 633 B Brevard Avenue, Cocoa, Florida |
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 |
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Kidspeace Services Inc 4085 Independence Drive Schenecksville PA 18078 Ph: (800) 854-3123 | Kidspeace Services Inc 633 B Brevard Avenue Cocoa FL 32922 Ph: (321) 631-7740 |
NPI Number | 1629101423 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629101423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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