| NPI | 1174030472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN MICHAEL CLARK Owner & Operator 919-320-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 25169034) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |