| NPI | 1952798688 |
|---|---|
| Doing Business As | JOHNSON PARK CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA A. SCATES CEO/Founder 315-734-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-02-12 |