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

Second Genesis, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1053589242

Second Genesis, Inc is a Substance Abuse Rehabilitation Facility in Crownsville, Maryland. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Circle Dr Tarditional
Crownsville, MD 21032-2061
Phone: (301) 621-9013
Fax: (301) 563-1546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1053589242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J McGuinness — Executive Director · (301) 563-1545
NPI enumeratedFebruary 11, 2008
Last updated in NPPESFebruary 11, 2008
Mailing address8611 2nd Ave, Silver Spring, MD 20910-3372

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