Organization
LOTUS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE WATERMAN LCSW-C, LCADC (CLINICAL DIRECTOR)
(443) 707-5558
Entity
Organization
Contact information
Practice address
4207 SPRINGWOOD AVE, BALTIMORE, MD 21206-1934
(410) 303-8748
Mailing address
4207 SPRINGWOOD AVE, BALTIMORE, MD 21206-1934
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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