Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Second Genesis

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1740439603

Second Genesis is a Substance Use Disorder Rehabilitation Clinic/Center in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

4017 Minnesota Ave NE
Washington, DC 20019-3541
Phone: (202) 388-8570
Fax: (202) 388-3523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 111507A-Y-170 (DC)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 111507A-171 (DC)

Record details

NPI number1740439603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. McGuinness — Executive Director · (301) 563-1545
NPI enumeratedSeptember 16, 2008
Last updated in NPPESSeptember 16, 2008
Mailing address8611 2nd Ave, Suite 300, Silver Spring, MD 20910-3372

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