| NPI | 1912264748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Medical Director 240-580-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD D0058483) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-12-19 |