| NPI | 1720346471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Medical Director 240-580-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD 07556) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |