NPI 1003084146

Second Genesis, INC

Organisation Substance Abuse Rehabilitation Facility Crownsville, MD

Practice location

Address: 107 Circle Dr Co-Occurring, Crownsville, MD 21032-2061
Phone: (301) 563-1545
Fax: (301) 563-1546
Mailing address: 8611 2nd Ave, Silver Spring, MD 20910-3372

Authorised official

Name: J Michael McGuinness
Title: Executive Director
Phone: (301) 563-1545

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 903300 (MD)

Other Substance Abuse Rehabilitation Facility providers in Maryland →

Registry record

NPI: 1003084146
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.