| NPI | 1588000731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS D. YOUNG Owner/ Program Director 769-233-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 801592792) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: MS 801592792) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |