Provider Demographics
NPI:1487361028
Name:THE POMEGRANATE INSTITUTE, PLLC
Entity type:Organization
Organization Name:THE POMEGRANATE INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOTKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:414-538-4249
Mailing Address - Street 1:125 WESTGATE CENTER DR STE 1001
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9588
Mailing Address - Country:US
Mailing Address - Phone:413-538-4249
Mailing Address - Fax:
Practice Address - Street 1:10 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2008
Practice Address - Country:US
Practice Address - Phone:413-538-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)