Kidspeace Services INC

NPI #1962693077 in Lakeland, Florida

Provider Information

NPI Number: 1962693077
Entity Type: Organization
Organization Name: Kidspeace Services INC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 3333 WINTER LAKE ROAD
City: Lakeland
State: Florida
ZIP Code: 33803
Phone: (407) 339-7451

Authorized Official

Name: MR. MICHAEL W SLACK
Title: VP FOR MARKETING AND BUSINESS DEVEL
Phone: (610) 799-8405

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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