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KIDSPEACE NATIONAL CENTERS

Assisted Living Mental Illness

Harrisburg, Pennsylvania

Provider NPI: 1770628174

Organization Information:
Organization Name:  KIDSPEACE NATIONAL CENTERS
Organization is not Subpart
Authorized Official:  MICHAEL  CALLAN  CFO  610-7997517

Practice Location:
4807 JONESTOWN RD SUITE 241 HARRISBURG, PA 17109 US
Tel: 717-770-1364  Fax: 717-770-1368

Business Mailing Address:
4085 INDEPENDENCE DR  SCHNECKSVILLE, PA 18078 US
Tel: (80-0) -854-3123  Fax: 610-799-8318

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N253J00000XAgencies
Foster Care Agency
PA352330
N253J00000XAgencies
Foster Care Agency
PA306310
N253J00000XAgencies
Foster Care Agency
PA352320
Y253J00000XAgencies
Foster Care Agency
PA327800

Other Provider Identifiers:

IssuerNumberStateType
100763290-0097PA05
100763290-0107PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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