| NPI | 1679426068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHENNA KELVIN ANENE Owner 817-296-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-07-06 |