| NPI | 1093864225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LETARTE President 520-836-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AZ OTC 0576) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-09-21 |