| NPI | 1154000552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |