| NPI | 1023558798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VAN GUILDER Executive Director 928-783-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |