Kidspeace Mesabi Academy Inc

Organization Active NPI Psychiatric Residential Treatment Facility · Buhl, MN

NPI 1669544987 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1669544987
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Residential Treatment Facility 323P00000X
License
10368991CRF (MN)
Legal business name
KIDSPEACE MESABI ACADEMY INC
Practice address
200 Wanless Street
Buhl, MN 55713
Phone
(888) 270-5013
Fax
(218) 258-3807
NPI assigned
Nov 14, 2006
Organization subpart
No

Authorized official

Name
Mr. Michael W Slack
Title
VP for Marketing and Business Devel
Phone
(800) 854-3123

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Kidspeace Mesabi Academy (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 10368991CRF MN Yes

Addresses

Primary practice location

200 Wanless Street
Buhl, MN 55713

Mailing address

4085 Independence Drive
Schnecksville, PA 18078
Phone (800) 854-3123

Other providers in Buhl, MN

All providers in Buhl, MN · Psychiatric Residential Treatment Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.