NPI 1134483464

Second Genesis INC

Organisation Substance Abuse Rehabilitation Facility Washington, DC

Practice location

Address: 1320 Harvard St NW, Washington, DC 20009-4904
Phone: (202) 222-0120

Authorised official

Name: Mark Segal
Title: Director of Clinical Operations
Phone: (301) 563-1545

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence CRF-000125 (DC)

Other Substance Abuse Rehabilitation Facility providers in District of Columbia →

Registry record

NPI: 1134483464
Entity type: Organization
NPI issued: 2 Jul 2012
Record last updated: 2 Jul 2012

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.