Organization · Type 2 NPI

Second Genesis, Inc

Children's Substance Abuse Rehabilitation Facility · Upper Marlboro, MD

NPI number 1316115454 Active

Practice location

4620 Melwood Rd
Upper Marlboro, MD 20772-9507

Fax (301) 563-1546

Mailing address

8611 2nd Ave
Silver Spring, MD 20910-3372

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X903298 (MD)

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1316115454

Second Genesis, Inc's National Provider Identifier is 1316115454, issued on Feb 12, 2008. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Upper Marlboro, MD. The record was last updated on Feb 12, 2008.