Second Genesis, INC

NPI #1053589242 in Crownsville, Maryland

Provider Information

NPI Number
1053589242
Entity Type
Organization
Organization Name
Second Genesis, INC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 11, 2008
Last Updated
Feb 11, 2008

Practice Location

Address
107 CIRCLE DR
Address 2
TARDITIONAL
ZIP Code
21032-2061
Phone
(301) 621-9013

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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