Provider Demographics
NPI:1467950345
Name:PARENTS BY CHOICE
Entity Type:Organization
Organization Name:PARENTS BY CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:YADON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-275-2487
Mailing Address - Street 1:306 E MAIN ST STE 300-312
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-2908
Mailing Address - Country:US
Mailing Address - Phone:209-478-4554
Mailing Address - Fax:209-478-1991
Practice Address - Street 1:306 E MAIN ST STE 300-312
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-2908
Practice Address - Country:US
Practice Address - Phone:209-478-4554
Practice Address - Fax:209-478-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health