| NPI | 1235943127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LAWSON Owner 406-213-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-07-29 |