Organization · Type 2 NPI

Kidspeace Children's Hospital, Inc.

Adolescent and Children Mental Health Clinic/Center · Allentown, PA

NPI number 1740688423 Active

Practice location

451 W. Chew St., Suite 105
Allentown, PA 18102

Call (610) 776-5465 Map

Fax (610) 663-3270

Mailing address

Kidspeace Corporation, 4085 Independence Dr
Schnecksville, PA 18078

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	218750 (PA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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NPI record

NPI: 1740688423
Entity type: Organization (Type 2)
Issued: Dec 12, 2014
Last updated: Mar 6, 2019
Status: Active
Subpart: Yes of Kidspeace Children's Hospital, Inc.

Other names

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Kidspeace Outpatient Mental Health Clinic · doing business as

Authorized official

Mr. Michael W Slack
Chief Operating Officer
(610) 799-8525

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740688423

Kidspeace Children's Hospital, Inc.'s National Provider Identifier is 1740688423, issued on Dec 12, 2014. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Allentown, PA. The record was last updated on Mar 6, 2019.