Kidspeace National Centers of New England INC

NPI #1619185113 in Ellsworth, Maine

Provider Information

NPI Number: 1619185113
Entity Type: Organization
Organization Name: Kidspeace National Centers of New England INC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: May 18, 2007
Last Updated: Jun 17, 2008

Practice Location

Address: 16 KIDSPEACE WAY
City: Ellsworth
State: Maine
ZIP Code: 04605
Phone: (207) 667-0909

Authorized Official

Name: MR. MICHAEL W SLACK
Title: VP FOR MARKETING AND BUS DEV
Phone: (800) 854-3123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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