| NPI | 1710777222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CRAWFORD President 508-944-6304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |