NPI 1396927919

Kidspeace National Centers of New England INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ellsworth, ME

Practice location

Address: 16 Kidspeace Way Graham Lake Campus, Ellsworth, ME 04605
Phone: (207) 771-5700
Fax: (207) 667-7169
Mailing address: 4085 Independence Drive, Schnecksville, PA 18078

Authorised official

Name: Michael W Slack
Title: Vp for Marketing and Business Devel
Phone: (610) 799-8405

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 216402 (ME)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Maine →

Registry record

NPI: 1396927919
Entity type: Organization
NPI issued: 5 Dec 2007
Record last updated: 18 Jul 2008

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.