| NPI | 1093139701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODOU MBOW C.E.O 313-566-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI L2718) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |