| NPI | 1346049947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN OBALLO Member/Manager 602-725-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |