| NPI | 1841648805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY QUEEN Business Services Coordinator 704-862-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |