| NPI | 1245020817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY NECOL SMITH Owner 945-267-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 372600000X Adult Companion | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-06-02 |