| NPI | 1962828707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM M. WATTERS Ost Chr Program, Director 605-867-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |