| NPI | 1083005573 |
|---|---|
| Doing Business As | FREEDOM CENTER OF QUEENS |
| Entity Type | Organization |
| Authorized Contact | MARK CAPUTO President 206-816-6505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2016-10-27 |