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NPI Profile for LIZATTE MARTIN in CHURCHTON, MD.
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Case Management |
251B00000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X | |||
Rehabilitation Counselor |
225C00000X |
| NPI # | 1841752490 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/03/2019 | |
| Last updated | 04/03/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LIZATTE MARTIN
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LIZATTE MARTIN