NPI 1417029729

Kidspeace National Centers of Georgia INC

Organisation Psychiatric Residential Treatment Facility Bowden, GA

Practice location

Address: 101 Kidspeace Drive, Bowden, GA 30108
Phone: (770) 437-7200
Fax: (770) 258-9128
Mailing address: 4085 Independence Drive, Schnecksville, PA 18078

Authorised official

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

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence CC1001402 (GA)

Other Psychiatric Residential Treatment Facility providers in Georgia →

Registry record

NPI: 1417029729
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 26 Sep 2007

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.