Second Genesis, Inc.
NPI #1427352681 in Crownsville, Maryland
Provider Information
- NPI Number
- 1427352681
- Entity Type
- Organization
- Organization Name
- Second Genesis, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jan 3, 2011
Practice Location
- Address
- 107 CIRCLE DR
- City
- Crownsville
- State
- Maryland
- ZIP Code
- 21032-2061
- Phone
- (301) 621-9013
Authorized Official
- Name
- MR. MARK SEGAL, LCSW-C
- Title
- DIRECTOR OF CLINICAL OPERATIONS
- Phone
- (301) 563-1545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Clinic/Center |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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