NPIMap

Organization Active NPI

Self-Determined Recovery LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1487456752
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SELF-DETERMINED RECOVERY LLC
Practice address
803 E 43Rd St
Baltimore, MD 21212-4907
Phone
(410) 800-2388
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamal Lee
Title
Ceo
Phone
(443) 531-1015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

803 E 43Rd St
Baltimore, MD 21212-4907

Mailing address

803 E 43Rd St
Baltimore, MD 21212-4907

National Provider Directory

National Provider Directory
Tax ID family
Self-Determined Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1487456752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 43RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E 43RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124907",
            "telephone_number": "410-800-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-DETERMINED RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-531-1015"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.