| NPI | 1740688423 |
|---|---|
| Doing Business As | KIDSPEACE OUTPATIENT MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK Chief Operating Officer 610-799-8525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PA 218750) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2019-03-06 |