Organization · Type 2 NPI

Second Genesis

Substance Use Disorder Rehabilitation Clinic/Center · Washington, DC

NPI number 1740439603 Active

Practice location

4017 Minnesota Ave NE
Washington, DC 20019-3541

Call (202) 388-8570 Map

Fax (202) 388-3523

Mailing address

8611 2nd Ave, Suite 300
Silver Spring, MD 20910-3372

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X111507A-Y-170 (DC)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X111507A-171 (DC)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1740439603

Second Genesis's National Provider Identifier is 1740439603, issued on Sep 16, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Washington, DC. The record was last updated on Sep 16, 2008.