| NPI | 1104339548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTA CRAWFORD Coordinator 505-604-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NM 5485851) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |