NPI 1225152309

Kidspeace National Centers of New England INC

Organisation Assisted Living Facility (Mental Illness) Ellsworth, ME

Practice location

Address: 16 Kidspeace Way Graham Lake Campus, Ellsworth, ME 04605
Phone: (207) 667-0909
Fax: (207) 667-6348
Mailing address: 4085 Independence Drive, Schenecksville, PA 18078

Authorised official

Name: Michael W Slack
Title: Vp for Marketing and Business Devel
Phone: (800) 854-3123

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 208541 (CT)

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Registry record

NPI: 1225152309
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.