| NPI | 1902304371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FINGLASS CFO 410-766-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |