| NPI | 1174920979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEACH CFO 606-329-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-04-30 |