COMMITTED TO CHANGE PC NPI 1093073744

NPI Information

COMMITTED TO CHANGE, PC is a mental health (including community mental health center) clinic center in Columbia, MD. COMMITTED TO CHANGE, PC NPI is 1093073744. The provider is registered as an organization entity type.

The provider's business location address is:

8965 GUILFORD RD
SUITE 150
COLUMBIA, MD
ZIP 21046-384
Phone: (410) 290-8800
Fax: (410) 290-8860

The provider's authorized official is Rajendra Lowtan .
The authorized official title is Medical Director and has the following contact phone number (410) 290-8800.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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