Organization
HUMBLE BEGINNINGS RECOVERY LLC
Active
Parent organization
HUMBLE BEGINNINGS RECOVERY LLC
Other names
Humble Beginnings Recovery LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMBLE BEGINNINGS RECOVERY LLC
Authorized official
JESSE WATERMAN LCSW-C, LCADC (CO-OWNER)
(443) 971-1451
Entity
Organization
Contact information
Practice address
4515 BOWLEYS LN, BALTIMORE, MD 21206-6641
(443) 707-5558
(833) 301-1994
Mailing address
1103 WALNUT WOOD RD, HUNT VALLEY, MD 21030-5403
(443) 971-1451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588246995
—
MD
Enumeration date
07/06/2022
Last updated
07/06/2022
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