Organization
MANIFEST RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE SMITH (OWNER)
(347) 182-1433
Entity
Organization
Contact information
Practice address
4601 EASTERN AVE # 2, BALTIMORE, MD 21224-4418
(347) 206-8489
Mailing address
4601 EASTERN AVE # 2, BALTIMORE, MD 21224-4418
(347) 206-8489
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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