| NPI | 1093378317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARION WILLIAMS Administrator 313-627-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |