| NPI | 1255754677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BOUCHER CFO 978-922-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2019-03-21 |