| NPI | 1619376753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JOHNSON Program Administrator 469-222-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |