| NPI | 1790360758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILAND WOODS Executive Director 866-709-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-07-30 |