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SECOND GENESIS, INC.
NPI 1427352681
Substance Abuse Rehabilitation Facility in Crownsville, MD

Active since January 03, 2011
107 CIRCLE DR, CROWNSVILLE, MD 21032(301) 621-9013 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Second Genesis, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECOND GENESIS, INC. (NPI 1427352681) is a healthcare organization registered as a substance abuse rehabilitation facility in Crownsville, Maryland and active in the NPI registry since January 2011. The organization lists Mark Segal, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1427352681
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSECOND GENESIS, INC.
Location Address107 CIRCLE DRCrownsville, MD 21032-2061
Mailing Address8611 2nd Ave, Suite 300Silver Spring, MD 20910-3372 · (301) 563-1545 · Fax (301) 563-1546
Phone(301) 621-9013
Organization SubpartNo
Authorized OfficialMark SegalDirector Of Clinical Operations · (301) 563-1545
Enumeration DateJanuary 3, 2011
✔ NPI 1427352681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MD · 1053589242
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.
Also ListedClinic/CenterTaxonomy 261Q00000X · License 904039 (MD)
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X · License 904039 (MD)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 904039 (MD)
107 CIRCLE DR, Crownsville, MD 21032
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SECOND GENESIS, INC
Substance Abuse Rehabilitation Facility
107 CIRCLE DR, CO-OCCURRING
CROWNSVILLE, MD 21032
Anne Arundel County (301) 563-1545
SECOND GENESIS, INC
Substance Abuse Rehabilitation Facility
107 CIRCLE DR, TARDITIONAL
CROWNSVILLE, MD 21032
Anne Arundel County (301) 621-9013
NICOLE JENKINS LCSW-C
Social Worker (Clinical)
107 CIRCLE DR
CROWNSVILLE, MD 21032
Anne Arundel County (833) 976-4357
GAUDENZIA INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
107 CIRCLE DR
CROWNSVILLE, MD 21032
Anne Arundel County (443) 598-6900
GAUDENZIA INC
Substance Abuse Rehabilitation Facility
107 CIRCLE DR
CROWNSVILLE, MD 21032
Anne Arundel County (443) 598-6900
GAUDENZIA, INC.
Substance Abuse Rehabilitation Facility
107 CIRCLE DR
CROWNSVILLE, MD 21032
Anne Arundel County (410) 474-8416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Genesis, Inc.'s NPI number?

The NPI number for Second Genesis, Inc. is 1427352681. It was assigned to this organization in the NPPES registry on January 3, 2011.

Where is Second Genesis, Inc. located?

Second Genesis, Inc. is located at 107 Circle Dr, Crownsville, MD 21032. The listed phone number is (301) 621-9013.

What is Second Genesis, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Second Genesis, Inc. was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.