OrganizationActive
Second Genesis Inc
NPI 1134483464 · Substance Abuse Rehabilitation Facility · Washington, DC
Provider details
- NPI number
- 1134483464
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Segal, Director of Clinical Operations(301) 563-1545
- License
- CRF-000125 (DC)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1320 Harvard St Nw
Washington, DC 20009-4904
Phone: (202) 222-0120
Approximate (ZIP-level) locationGet directions
Mailing address
1320 Harvard St Nw
Washington, DC 20009-4904
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2012-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.