| NPI | 1841616919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA GIBSON Owner 330-687-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |