| NPI | 1700465424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANILAY AMY JACKSON Directing Manager 619-856-5821 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-10-04 |