| NPI | 1790144244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MININNI Director Of Finance & Administratio 910-202-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |