| Organization Name: | PEDIATRIC ALTERNATIVE TREATMENT, CARE, HOUSING & EVALUATION SERVICES |
| NPI Number: | 1689758328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AZONA KYLE SMITH (CEO) |
| Mailing Address: | 335 S Krome Ave Suite 104-107 Florida City |
| State: | FL US |
| Postal Code: | 330344906 |
| Phone Number: | 3052428122 |
| Fax Number: | 3052428837 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 09/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM3000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Medically Fragile Intants and Children Day Care |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |