Healthcare Provider Details

I. General information

NPI: 1649996216
Provider Name (Legal Business Name): BMORE RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W 29TH ST
BALTIMORE MD
21211-2905
US

IV. Provider business mailing address

219 W 29TH ST
BALTIMORE MD
21211-2905
US

V. Phone/Fax

Practice location:
  • Phone: 443-869-2611
  • Fax:
Mailing address:
  • Phone: 443-869-2611
  • Fax: 667-285-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KEVIN P MEENAN
Title or Position: ADMINISTRATOR
Credential: LCSW-C
Phone: 443-880-1164