| NPI | 1679861140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA GODWIN SANTIAGO Clinical Social Worker 757-818-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2013-11-11 |