| NPI | 1447465687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-04-20 |