| NPI | 1811255565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Medical Director 410-290-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD D0056120) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |