| NPI | 1891945754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETHAY L COLTRANE CEO 336-963-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-001-166) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2023-08-30 |