NPI | 1699097378 |
---|---|
Former Legal Business Name | COMMITTED TO CHANGE, LLC |
Entity Type | Organization |
Authorized Contact | RAJENDRA LOWTAN Medical Director 240-580-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0058483) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2022-07-21 |