| NPI | 1336420470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ADAMS Social Worker 803-508-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: SC 9094) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |