LOTUS RECOVERY CENTER NPI 1861110090

NPI Information

  • NPI: 1861110090
  • Provider Name: LOTUS RECOVERY CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 21D2277656
  • Address: 4207 SPRINGWOOD AVE
    BALTIMORE, MD
    ZIP 21206
  • Phone: (410) 303-8748

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NPI Details

LOTUS RECOVERY CENTER is a substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LOTUS RECOVERY CENTER NPI is 1861110090. The provider is registered as an organization entity type.

The provider's business location address is:

4207 SPRINGWOOD AVE
BALTIMORE, MD
ZIP 21206-934
Phone: (410) 303-8748

The provider's authorized official is Jesse Waterman .
The authorized official title is Clinical Director and has the following contact phone number (443) 707-5558.

The CLIA number assigned to this NPI record is 21D2277656 - other - asam 3.1 residential tx with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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