| NPI | 1720435662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VOUKEP Administrator 240-246-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 110390) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2018-01-22 |