| NPI | 1497055131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DENISE GODWIN Social Worker 757-818-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-11-16 |