| NPI | 1114119336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEISTER CORTELING Administrator 301-696-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2011-05-25 |