| NPI | 1376424002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZZAMIN CLARK Owner 702-945-1065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |