| NPI | 1174374797 |
|---|---|
| Former Legal Business Name | SOUL FORWARD SOBER COMPANIONS |
| Doing Business As | SOUL FORWARD SOBER COMPANIONS |
| Entity Type | Organization |
| Authorized Contact | CLAUDE GRACY Executive Director 586-339-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-24 |