| NPI | 1790033256 |
|---|---|
| Doing Business As | PEDIATRIC HEALTH CHOICE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RHIANNON WACK Behavior Specialist 727-804-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |