| NPI | 1619031978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W NEISWANGER Authorized Person 301-864-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |