# PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATCHES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245490465
- **Authorized official:** MS. AZONA KYLE SMITH RN, BSN (ADMINISTRATOR)
- **Authorized official phone:** (305) 242-8122

## Contact information

- **Practice address:** 4300 OKEECHOBEE RD, FORT PIERCE, FL 34947-5407
- **Practice address phone:** (772) 462-6601
- **Mailing address:** 335 S KROME AVE, SUITE 104, FLORIDA CITY, FL 33034-4906
- **Mailing address phone:** (305) 242-8122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2279G1100X | General Care Registered Respiratory Therapist | 891891900 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 09/11/2019