| NPI | 1902530470 |
|---|---|
| Doing Business As | NY CENTRAL & WESTERN REACH CKD CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONOVAN SCHULTZ President 615-327-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-03-05 |