National Provider Identifier Database

KIDSPEACE CHILDRENS HOSPITAL INC
Adolescent and Children Mental Health

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.


Contact Information

KIDSPEACE CHILDREN'S HOSPITAL, INC.
451 W. CHEW ST.
SUITE 105
ALLENTOWN, PA18102
Phone: 610-776-5465
Fax: 610-663-3270
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X

* Indicates primary specialty

NPI Profile & details for KIDSPEACE CHILDREN'S HOSPITAL, INC.

NPI Number 1740688423
Legal business name
LBN
KIDSPEACE CHILDREN'S HOSPITAL, INC.
Authorized official MICHAEL SLACK - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 12/12/2014
Last updated 03/06/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 218750
  • PA Medicaid: 100728370-0016
  • PA Medicaid: 1007283700027

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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