| NPI | 1093068132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Owner 240-580-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1213) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-09-11 |