Organization
SECOND GENESIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE MARTENS (EXECUTIVE DIRECTOR)
(301) 563-1545
Entity
Organization
Contact information
Practice address
8611 2ND AVE, SUITE 300, SILVER SPRING, MD 20910-3372
(301) 563-1545
(301) 563-1546
Mailing address
8611 2ND AVE, SUITE 300, SILVER SPRING, MD 20910-3372
(301) 563-1545
(301) 563-1546
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
08/22/2020
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