Second Genesis, Inc. | |
107 Circle Dr Crownsville MD 21032-2061 | |
(301) 621-9013 | |
Not Available |
Full Name | Second Genesis, Inc. |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 107 Circle Dr, Crownsville, Maryland |
Authorized Official Name and Position | Mark Segal (DIRECTOR OF CLINICAL OPERATIONS) |
Authorized Official Contact | 3015631545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Second Genesis, Inc. 8611 2nd Ave Suite 300 Silver Spring MD 20910-3372 Ph: (301) 563-1545 | Second Genesis, Inc. 107 Circle Dr Crownsville MD 21032-2061 Ph: (301) 621-9013 |
NPI Number | 1427352681 |
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Provider Enumeration Date | 01/03/2011 |
Last Update Date | 01/03/2011 |
Identifier | Type | State | Issuer |
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1427352681 | NPI | - | NPPES |
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