| Committed To Change, P.c. | |
|
200 Glenn St Ste 302 Cumberland MD 21502-2583 | |
| (240) 580-1919 | |
| (240) 362-7409 |
| Full Name | Committed To Change, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Glenn St Ste 302, Cumberland, Maryland |
| Authorized Official Name and Position | Rajendra Lowtan (OWNER) |
| Authorized Official Contact | 2405801919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Committed To Change, P.c. 200 Glenn St Ste 302 Cumberland MD 21502-2583 Ph: (240) 580-1919 | Committed To Change, P.c. 200 Glenn St Ste 302 Cumberland MD 21502-2583 Ph: (240) 580-1919 |
| NPI Number | 1093068132 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093068132 | NPI | - | NPPES |
| 758603501 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-1213 (Maryland) | Primary |
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