| NPI | 1235202961 |
|---|---|
| Other Name | RAI-GARDEN GROVE-GARDEN GROVE |
| Entity Type | Organization |
| Authorized Contact | MARK R FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-07-27 |