| NPI | 1265812549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN CEO/Medical Director 410-990-1811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-1559) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-11-22 |