| Kidspeace Services Inc | |
|
3333 Winter Lake Road Lakeland FL 33803 | |
| (407) 339-7451 | |
| (407) 862-2737 |
| Full Name | Kidspeace Services Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3333 Winter Lake Road, Lakeland, Florida |
| Authorized Official Name and Position | Michael W Slack (VP FOR MARKETING AND BUSINESS DEVEL) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Services Inc 4085 Independence Drive Schnecksville PA 18078 Ph: (800) 854-3123 | Kidspeace Services Inc 3333 Winter Lake Road Lakeland FL 33803 Ph: (407) 339-7451 |
| NPI Number | 1962693077 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962693077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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