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

Second Genesis, Inc

Organization Children's Substance Abuse Rehabilitation Facility · NPI 1316115454

Second Genesis, Inc is a Children's Substance Abuse Rehabilitation Facility in Upper Marlboro, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
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

4620 Melwood Rd
Upper Marlboro, MD 20772-9507
Phone: (301) 563-1545
Fax: (301) 563-1546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X · Licence 903298 (MD)

Record details

NPI number1316115454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J McGuinness — Executive Director · (301) 563-1545
NPI enumeratedFebruary 12, 2008
Last updated in NPPESFebruary 12, 2008
Mailing address8611 2nd Ave, Silver Spring, MD 20910-3372

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