| NPI | 1902801681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEISTER CORTELING Administrator 240-361-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2625) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-05-25 |