| NPI | 1093953861 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KHALILAH SHABAZZ Manager 248-809-2090  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI 343900000x)  | 
| Enumeration Date | 2009-02-01 | 
| Last Update Date | 2009-02-01 |