| NPI | 1225491707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LESLIE-GOODEN CEO/Director 678-870-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-17 |