NPI | 1083972459 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJENDRA LOWTAN Medical Director 410-290-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD D0058483) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |