| NPI | 1417384223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA FLUKER Director Of Clinical Services 313-963-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801071630) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2014-11-21 |