| NPI | 1063780807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LAMAR COUSIN Operations Manager 678-401-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: GA BXH3086) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |