| The Martin Pollak Project Inc. | |
|
3701 Eastern Ave Baltimore MD 21224-4208 | |
| (410) 685-2525 | |
| (410) 617-8243 |
| Full Name | The Martin Pollak Project Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3701 Eastern Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Richard Norman (CEO) |
| Authorized Official Contact | 4106852525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Martin Pollak Project Inc. 3701 Eastern Ave Baltimore MD 21224-4208 Ph: (410) 685-2525 | The Martin Pollak Project Inc. 3701 Eastern Ave Baltimore MD 21224-4208 Ph: (410) 685-2525 |
| NPI Number | 1922545649 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922545649 | NPI | - | NPPES |
| BH002229 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH-2180 (Maryland) | Primary |
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