Organization
HUMBLE BEGINNINGS RECOVERY LLC
Active
Other names
Humble Beginnings Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE WATERMAN LMSW, LGADC (PROGRAM DIRECTOR)
(443) 707-5558
Entity
Organization
Contact information
Practice address
3935 SOUTHERN AVE, BALTIMORE, MD 21206-5537
(443) 707-5558
Mailing address
1103 WALNUT WOOD RD, HUNT VALLEY, MD 21030-5403
(443) 707-5558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/30/2021
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