Organization · Type 2 NPI

Second Genesis, Inc

Substance Abuse Rehabilitation Facility · Crownsville, MD

NPI number 1053589242 Active

Practice location

107 Circle Dr, Tarditional
Crownsville, MD 21032-2061

Call (301) 621-9013 Map

Fax (301) 563-1546

Mailing address

8611 2nd Ave
Silver Spring, MD 20910-3372

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: 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.

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About NPI 1053589242

Second Genesis, Inc's National Provider Identifier is 1053589242, issued on Feb 11, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Crownsville, MD. The record was last updated on Feb 11, 2008.