| NPI | 1912872995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY MULDROW, MULDROW Executive Director 980-833-4531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |