Second Genesis, Inc in Crownsville - Substance Abuse Rehabilitation Facility
Second Genesis, Inc - NPI 1053589242
Second Genesis, Inc is a Substance Abuse Rehabilitation Facility in Crownsville, Maryland. Second Genesis, Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Second Genesis, Inc is 1053589242. The last update date is 2008-02-11.
Second Genesis, Inc's current location address is 107 Circle Dr, Crownsville, Maryland. You can contact this provider via phone number 3016219013 and fax number 3015631546. The mailing address for Second Genesis, Inc is 107 Circle Dr, Crownsville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Genesis, Inc |
|---|---|
| Address | 107 Circle Dr, Crownsville, Maryland |
| Phone Number | 3016219013 |
| Fax Number | 3015631546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcguinness Michael J |
| Credentials | MSW |
| Telephone Number | 3015631545 |
NPI Number Detail
| NPI Number | 1053589242 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 107 Circle Dr |
|---|---|
| City | Crownsville |
| State | Maryland (MD) |
| Post Code | 210322061 |
| Phone Number | 3016219013 |
| Fax Number | 3015631546 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
|
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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Second Genesis, Inc by the Centers for Medicare & Medicaid Services?
The Second Genesis, Inc has been issued the NPI (National Provider Identifier) 1053589242, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Second Genesis, Inc?
The Second Genesis, Inc is physically situated at 107 Circle Dr, in the city of Crownsville, state of MD, with the postal code 210322061.
What is the Second Genesis, Inc's area of specialization and corresponding taxonomy classification?
The Second Genesis, Inc's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
On what date did the Second Genesis, Inc receive the assignment of its 1053589242 from the Centers for Medicare & Medicaid Services?
The Second Genesis, Inc was issued its 1053589242 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information related to Second Genesis, Inc most recently updated or refreshed?
The details pertaining to the Second Genesis, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-11.
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