Second Genesis, Inc.

LBN: Second Genesis, Inc.
Second Genesis, Inc. is an health care organization with primary practice located at 107 Circle Dr , Crownsville MD 21032-2061. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Second Genesis, Inc. can be contacted via phone (301) 621-9013, or through Segal, Mark via phone (301) 563-1545.

Contact Information

Primary practice address
107 Circle Dr Crownsville MD 21032-2061
Phone: (301) 621-9013
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Segal, Mark LCSW-C
Phone: (301) 563-1545

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 904039 Maryland
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 904039 Maryland
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 904039 Maryland
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1053589242 Maryland

Profile Details

NPI number 1427352681
LBN Legal business name Second Genesis, Inc.
DBA Doing business as
Authorized official Segal, Mark LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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