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Organization

SECOND GENESIS, INC

Active
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Organization

SECOND GENESIS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. J MICHAEL MCGUINNESS MSW (EXECUTIVE DIRECTOR)
(301) 563-1545
Entity
Organization

Contact information

Practice address
4620 MELWOOD RD, UPPER MARLBORO, MD 20772-9507
(301) 563-1545
(301) 563-1546
Mailing address
8611 2ND AVE, SILVER SPRING, MD 20910-3372
(301) 563-1545
(301) 563-1546

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
903298
MD

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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