| NPI | 1154502334 |
|---|---|
| Doing Business As | ACTIVE CHILDREN'S CHOICE |
| Entity Type | Organization |
| Authorized Contact | ALICE N MWAKITAWA Administrator 337-948-9067 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |