| NPI | 1508456229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYN WILLIAMS Administrator 505-575-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-01-13 |