| Committed To Change Pc | |
|
500 Memorial Ave M304 Cumberland MD 21502-3732 | |
| (240) 580-1919 | |
| (443) 276-6712 |
| Full Name | Committed To Change Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 500 Memorial Ave, Cumberland, Maryland |
| Authorized Official Name and Position | Rajendra Lowtan (PSYCHIATRIST) |
| Authorized Official Contact | 2405801919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Committed To Change Pc 500 Memorial Ave M304 Cumberland MD 21502-3732 Ph: (240) 580-1919 | Committed To Change Pc 500 Memorial Ave M304 Cumberland MD 21502-3732 Ph: (240) 580-1919 |
| NPI Number | 1821356973 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821356973 | NPI | - | NPPES |
| 403435003 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | D0058483 (Maryland) | Primary |
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