| Kidspeace National Centers Of North America, Inc. | |
|
2711 Breezewood Ave Fl 1 Fayetteville NC 28303-5526 | |
| (910) 223-0949 | |
| (910) 223-9626 |
| Full Name | Kidspeace National Centers Of North America, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2711 Breezewood Ave Fl 1, Fayetteville, North Carolina |
| Authorized Official Name and Position | Michele Jany (CONTRACT SPECIALIST II) |
| Authorized Official Contact | 6107998473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace National Centers Of North America, Inc. 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (610) 799-8473 | Kidspeace National Centers Of North America, Inc. 2711 Breezewood Ave Fl 1 Fayetteville NC 28303-5526 Ph: (910) 223-0949 |
| NPI Number | 1124362819 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124362819 | NPI | - | NPPES |
| 5146A | Other | NC | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5146A (North Carolina) | Primary |
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