Organization
COMMITTED TO CHANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA LOWTAN M.D. (MEDICAL DIRECTOR)
(240) 580-1919
Entity
Organization
Contact information
Practice address
500 MEMORIAL AVE, M304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Mailing address
500 MEMORIAL AVE, M304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
D0058483
MD
Other
Enumeration date
04/18/2012
Last updated
12/19/2012
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