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Second Genesis, Inc.
Substance Abuse Rehabilitation Facility in Crownsville, Maryland
NPI 1427352681

Second Genesis, Inc. is a Substance Abuse Rehabilitation Facility based in Silver Spring, MD. Second Genesis, Inc. practices in Crownsville, MD. The NPI Number for Second Genesis, Inc. is 1427352681 and holds a License No. 904039 (Maryland).

The current practice location address for Second Genesis, Inc. is 107 Circle Dr, Crownsville, MD and can be reached out via phone at 301-621-9013.

Location: 107 Circle Dr, Crownsville, MD, 20910-3372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427352681
Provider Name
Second Genesis, Inc.
Credential
Provider Entity Type
Organization
Address
107 Circle Dr, Crownsville, MD, 20910-3372
Phone Number
301-621-9013
Fax Number
Provider Enumeration Date
01/03/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
107 Circle Dr
City
Crownsville
State
Maryland
Zip
21032-2061
Phone Number
301-621-9013
Fax Number
person
Provider Business Mailing Address Details
Address
107 Circle Dr
City
Crownsville
State
Maryland
Zip
21032-2061
Phone Number
301-621-9013
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1053589242 (Maryland)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
904039 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
904039 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
904039 (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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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