| NPI | 1063870392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRY CATRICE HAYDEN Program Manager 214-642-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |