OrganizationActive
Kidspeace Services Inc
NPI 1629101423 · Adolescent and Children Mental Health Clinic/Center · Cocoa, FL
Provider details
- NPI number
- 1629101423
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Slack, Vp for Marketing and Business Devel(800) 854-3123
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
633 B Brevard Avenue
Cocoa, FL 32922
Phone: (321) 631-7740
Fax: (321) 631-7741
Approximate (ZIP-level) locationGet directions
Mailing address
4085 Independence Drive
Schenecksville, PA 18078
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.