Organization
SELF-DETERMINED RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL LEE (CEO)
(410) 802-8477
Entity
Organization
Contact information
Practice address
4729 HAZELWOOD AVE, BALTIMORE, MD 21206-2832
(410) 800-2388
(443) 637-7717
Mailing address
803 E 43RD ST, BALTIMORE, MD 21212
(410) 802-8477
(443) 637-7717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/21/2024
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