| NPI | 1659620375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVENA Y JOHNSON Administrator 928-283-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |