| Kidspeace Childrens Hospital, Inc. | |
|
106 N 17th St Allentown PA 18104-5673 | |
| (610) 799-7868 | |
| Not Available |
| Full Name | Kidspeace Childrens Hospital, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 106 N 17th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Michael Slack (PRESIDENT AND CEO) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Childrens Hospital, Inc. 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (610) 799-8343 | Kidspeace Childrens Hospital, Inc. 106 N 17th St Allentown PA 18104-5673 Ph: (610) 799-7868 |
| NPI Number | 1336829696 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336829696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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