Organization · Type 2 NPI

Humble Beginnings Recovery LLC

Substance Abuse Rehabilitation Facility · Baltimore, MD

NPI number 1487387619 Active

Practice location

4515 Bowleys Ln
Baltimore, MD 21206-6641

Call (443) 707-5558 Map

Fax (833) 301-1994

Mailing address

1103 Walnut Wood Rd
Hunt Valley, MD 21030-5403

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1487387619
Entity type: Organization (Type 2)
Issued: Jul 6, 2022
Last updated: Jul 6, 2022
Status: Active
Subpart: Yes of Humble Beginnings Recovery LLC

Other names

Humble Beginnings Recovery LLC · doing business as

Authorized official

Jesse Waterman, LCSW-C, LCADC
Co-Owner
(443) 971-1451

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487387619

Humble Beginnings Recovery LLC's National Provider Identifier is 1487387619, issued on Jul 6, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 6, 2022.