NPI | 1881988004 |
---|---|
Other Name | PHYCHOICE OF GADSDEN |
Entity Type | Organization |
Authorized Contact | KELLY SMITH Director Of Legal 610-495-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2011-06-06 |
Last Update Date | 2015-02-06 |