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SELF-DETERMINED RECOVERY LLC
NPI 1376126664
Community/Behavioral Health in Baltimore, MD

Active since May 04, 2021
4729 HAZELWOOD AVE, BALTIMORE, MD 21206(410) 800-2388(443) 637-7717 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Self-determined Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF-DETERMINED RECOVERY LLC (NPI 1376126664) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since May 2021. The organization lists Jamal Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376126664
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSELF-DETERMINED RECOVERY LLC
Location Address4729 HAZELWOOD AVEBaltimore, MD 21206-2832
Mailing Address803 E 43rd StBaltimore, MD 21212 · (410) 802-8477 · Fax (443) 637-7717
Phone(410) 800-2388
Fax(443) 637-7717
Organization SubpartNo
Authorized OfficialJamal LeeCeo · (410) 802-8477
Enumeration DateMay 4, 2021
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 4, 2021
✔ NPI 1376126664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4729 HAZELWOOD AVE, Baltimore, MD 21206
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Self-Determined Recovery LLC's NPI number?

The NPI number for Self-Determined Recovery LLC is 1376126664. It was assigned to this organization in the NPPES registry on May 4, 2021.

Where is Self-Determined Recovery LLC located?

Self-Determined Recovery LLC is located at 4729 Hazelwood Ave, Baltimore, MD 21206. The listed phone number is (410) 800-2388.

What is Self-Determined Recovery LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Self-Determined Recovery LLC was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.