NPIMap

Organization Active NPI

Self-Determined Recovery LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1487592705
Registry record updated Mar 25, 2026
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
807 E Baltimore St Ste 2-a,
Baltimore, MD 21202-4706
Phone
(410) 800-2388
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Jamal Lee
Title
Ceo
Phone
(410) 802-8477

Specialties & licenses 1

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

Addresses

Primary practice location

807 E Baltimore St Ste 2-a,
Baltimore, MD 21202-4706

Mailing address

807 E Baltimore St Ste 2-a,
Baltimore, MD 21202-4706
Phone (410) 800-2388

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.

Locations

807 E Baltimore St
Ste 2A
Baltimore, MD 21202
Phone (410) 800-2388

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1487592705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E BALTIMORE ST STE 2-A,",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024706",
            "telephone_number": "410-800-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E BALTIMORE ST STE 2-A,",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024706",
            "telephone_number": "410-800-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-DETERMINED RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-802-8477"
    },
    "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 25, 2026; 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.