Second Genesis, INC
NPI #1003084146 in Crownsville, Maryland
Provider Information
- NPI Number
- 1003084146
- Entity Type
- Organization
- Organization Name
- Second Genesis, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 12, 2008
- Last Updated
- Feb 12, 2008
Practice Location
- Address
- 107 CIRCLE DR
- Address 2
- CO-OCCURRING
- City
- Crownsville
- State
- Maryland
- ZIP Code
- 21032-2061
- Phone
- (301) 563-1545
Authorized Official
- Name
- MR. J MICHAEL MCGUINNESS, MSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (301) 563-1545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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