Second Genesis, Inc
Second Genesis, Inc is a Clinic/Center in Crownsville, Maryland. Licensed in Maryland. Registered with an NPI since 2011.
- Licensed in
- MD
- In the registry since
- 2011
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 Circle DrCrownsville, MD 21032-2061
Phone: (301) 621-9013
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 1053589242 (MD) |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence 904039 (MD) |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | Taxonomy 261QR0401X · Licence 904039 (MD) |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X · Licence 904039 (MD) |
Record details
| NPI number | 1427352681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Segal — Director Of Clinical Operations · (301) 563-1545 |
| NPI enumerated | January 3, 2011 |
| Last updated in NPPES | January 3, 2011 |
| Mailing address | 8611 2nd Ave, Suite 300, Silver Spring, MD 20910-3372 |