| NPI | 1982913711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERG Secretary 104-444-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-06-26 |