| NPI | 1033563663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA STOUT VP Finance 443-444-3841 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |