NPI | 1083931562 |
---|---|
Doing Business As | MEDMARK TREATMENT CENTERS WACO |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1000028) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 0000058) |
261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 1000028) | |
Enumeration Date | 2010-04-23 |
Last Update Date | 2024-07-29 |