| NPI | 1700942455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S LEWIS Secretary 406-585-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-03-14 |