| NPI | 1063860724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER COLLINS Administrator 973-450-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2017-12-07 |