| NPI | 1043859507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADD WILLIAMS President 970-445-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |