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Second Genesis, Inc
Children's Substance Abuse Rehabilitation Facility in Upper Marlboro, Maryland
NPI 1316115454

Second Genesis, Inc is a Children's Substance Abuse Rehabilitation Facility based in Silver Spring, MD and is specialized in Substance Abuse Treatment, Children. Second Genesis, Inc practices in Upper Marlboro, MD. The NPI Number for Second Genesis, Inc is 1316115454 and holds a License No. 903298 (Maryland).

The current practice location address for Second Genesis, Inc is 4620 Melwood Rd, Upper Marlboro, MD and can be reached out via phone at 301-563-1545 and via fax at 301-563-1546.

Location: 4620 Melwood Rd, Upper Marlboro, MD, 20910-3372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316115454
Provider Name
Second Genesis, Inc
Credential
Provider Entity Type
Organization
Address
4620 Melwood Rd, Upper Marlboro, MD, 20910-3372
Phone Number
301-563-1545
Fax Number
301-563-1546
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4620 Melwood Rd
City
Upper Marlboro
State
Maryland
Zip
20772-9507
Phone Number
301-563-1545
Fax Number
301-563-1546
person
Provider Business Mailing Address Details
Address
4620 Melwood Rd
City
Upper Marlboro
State
Maryland
Zip
20772-9507
Phone Number
301-563-1545
Fax Number
301-563-1546
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
903298 (Maryland)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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