NPI | 1992254924 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJENDRA LOWTAN COO/Medical Director 443-438-5610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MD MH-2130) |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-10-03 |