Kidspeace National Centers of Georgia INC

NPI #1417029729 in Bowden, Georgia

Provider Information

NPI Number
1417029729
Entity Type
Organization
Organization Name
Kidspeace National Centers of Georgia INC
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Nov 14, 2006
Last Updated
Sep 26, 2007

Practice Location

Address
101 KIDSPEACE DRIVE
City
Bowden
State
Georgia
ZIP Code
30108
Phone
(770) 437-7200

Authorized Official

Name
MR. MICHAEL W SLACK
Title
VP FOR MARKETING AND BUSINESS DEVEL
Phone
(800) 854-3123

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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