| NPI | 1487518098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKOA JEFFERSON Owner 386-867-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |