| NPI | 1578165635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONITA POUDYAL Medical Director 303-502-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |