| NPI | 1730447483 |
|---|---|
| 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 LC2197) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |