; NPI #1841752490

Contact Information

LIZATTE MARTIN

1228 GARRET AVE
CHURCHTON, MD 20733-9520

Phone: 667-200-6006
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for

NPI #	`1841752490`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	04/03/2019
Last updated	04/03/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Case Management

Case Manager/Care Coordinator

Counselor

Mental Health

Rehabilitation Counselor

NPI Profile & details for

Reviews for LIZATTE MARTIN