Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZONA K SMITH (CEO)
(305) 242-8122
Entity
Organization
Contact information
Practice address
335 S KROME AVE, SUITE 104-107, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
Mailing address
335 S KROME AVE, SUITE 104, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918619 00
—
FL
Enumeration date
04/18/2007
Last updated
07/26/2022
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