| NPI | 1649066341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVIS DENNORD GASH Owner 704-612-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |