| NPI | 1053780452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMELA PORTER Executive Director 888-551-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |