| NPI | 1437804960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE YVETTE NELSON Owner 219-214-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 347B00000X Bus | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |