| NPI | 1033517289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON E TUDOR Executive Director 209-742-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2022-10-25 |