| NPI | 1366024648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA J PALMER Authorized Official 202-236-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |