Provider Demographics
NPI:1528482403
Name:THE MARTIN POLLAK PROJECT INC.
Entity type:Organization
Organization Name:THE MARTIN POLLAK PROJECT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-685-2525
Mailing Address - Street 1:3701 EASTERN AVE
Mailing Address - Street 2:21224
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4208
Mailing Address - Country:US
Mailing Address - Phone:443-520-7699
Mailing Address - Fax:410-605-9678
Practice Address - Street 1:3701 EASTERN AVE
Practice Address - Street 2:21224
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4208
Practice Address - Country:US
Practice Address - Phone:443-520-7699
Practice Address - Fax:410-605-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD024181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty