# COMMITTED TO CHANGE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811255565
- **Authorized official:** RAJENDRA LOWTAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 290-8800

## Contact information

- **Practice address:** 500 MEMORIAL AVE, SUITE M-304, CUMBERLAND, MD 21502-3732
- **Practice address phone:** (240) 580-1919
- **Practice address fax:** (443) 276-6712
- **Mailing address:** 500 MEMORIAL AVE, SUITE M-304, CUMBERLAND, MD 21502-3732
- **Mailing address phone:** (240) 580-1919
- **Mailing address fax:** (443) 276-6712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | D0056120 | MD | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 05/01/2012