| NPI | 1093447666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVORY D BETHEA Director 704-582-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-05-13 |