| NPI | 1003609793 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SERGIO A CAMACHO Member/Manager 602-513-0051  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2025-05-26 | 
| Last Update Date | 2025-05-26 |