| NPI | 1710719703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJALA CLARK Manager 703-409-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2025-03-11 |