| NPI | 1346693389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KELLY Owner 706-615-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |