| Humble Beginnings Recovery Llc | |
|
4515 Bowleys Ln Baltimore MD 21206-6641 | |
| (443) 707-5558 | |
| (833) 301-1994 |
| Full Name | Humble Beginnings Recovery Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4515 Bowleys Ln, Baltimore, Maryland |
| Authorized Official Name and Position | Jesse Waterman (CO-OWNER) |
| Authorized Official Contact | 4439711451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humble Beginnings Recovery Llc 1103 Walnut Wood Rd Hunt Valley MD 21030-5403 Ph: (443) 971-1451 | Humble Beginnings Recovery Llc 4515 Bowleys Ln Baltimore MD 21206-6641 Ph: (443) 707-5558 |
| NPI Number | 1487387619 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487387619 | NPI | - | NPPES |
| 1588246995 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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