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KIDSPEACE NATIONAL CENTER, INC

Assisted Living, Mental Illness

Pottsville, Pennsylvania

Provider NPI: 1912042300

Organization Information:
Organization Name:  KIDSPEACE NATIONAL CENTER, INC


Practice Location:
500 N CENTRE STREET SUITE 104  POTTSVILLE, PA 17901 US
Tel: 570-516-9987  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N253J00000XAgencies
Foster Care Agency
PA222190
N253J00000XAgencies
Foster Care Agency
PA206200
N253J00000XAgencies
Foster Care Agency
PA206180
N253J00000XAgencies
Foster Care Agency
PA206210
Y261QM0855XAmbulatory Health Care Facilities
Clinic/Center
PA222190

Other Provider Identifiers:

IssuerNumberStateType
100763290-0096PA05
100763290-0105PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS PA - Page 1



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