OrganizationActive
Second Genesis, Inc
NPI 1316115454 · Children's Substance Abuse Rehabilitation Facility · Upper Marlboro, MD
Provider details
- NPI number
- 1316115454
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- J Mcguinness, Executive Director(301) 563-1545
- License
- 903298 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4620 Melwood Rd
Upper Marlboro, MD 20772-9507
Phone: (301) 563-1545
Fax: (301) 563-1546
Approximate (ZIP-level) locationGet directions
Mailing address
8611 2nd Ave
Silver Spring, MD 20910-3372
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.