| NPI | 1295815744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGALS ALAN MCMILLAN CEO 307-578-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: WY 06-003) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-02-18 |