KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC NPI 1396927919

NPI Information

KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC is a residential treatment facility emotionally disturbed children in Ellsworth, ME. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC NPI is 1396927919. The provider is registered as an organization entity type.

The provider's business location address is:

16 KIDSPEACE WAY
GRAHAM LAKE CAMPUS
ELLSWORTH, ME
ZIP 04605
Phone: (207) 771-5700
Fax: (207) 667-7169

The provider's authorized official is Michael W Slack .
The authorized official title is Vp For Marketing And Business Devel and has the following contact phone number (610) 799-8405.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 7/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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