| NPI | 1932502457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD DAVIS CEO 646-633-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-12-09 |