KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
NPI 1346373735
Assisted Living Facility - Assisted Living, Mental Illness in Bangor, ME

Q: What is Kidspeace National Centers Of New England Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 14, 2007

49 FLORIDA AVE, BANGOR, ME 04401(207) 299-1414(207) 947-6278 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kidspeace National Centers Of New England Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI 1346373735) is a healthcare organization registered as an assisted living, mental illness in Bangor, Maine and active in the NPI registry since March 2007. The organization lists Michael W Slack, Vp For Marketing And Business Devel, as its authorized official.

NPPES Registry Identity

NPI1346373735

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameKIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC

Location Address49 FLORIDA AVEBangor, ME 04401-3005

Mailing Address4085 Independence DriveSchenecksville, PA 18078 · (800) 854-3123 · Fax (610) 799-8318

Phone(207) 299-1414

Fax(207) 947-6278

Organization SubpartNo

Authorized OfficialMichael W SlackVp For Marketing And Business Devel · (800) 854-3123

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 4, 2015

✔ NPI 1346373735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in ME · 208541

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

49 FLORIDA AVE, Bangor, ME 04401

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Other Identifiers 1

Medicaid123430013ME

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONYA JOY CARLSON

Social Worker (Clinical)