NPI | 1154548535 |
---|---|
Doing Business As | MEDMARK TREATMENT CENTERS - VALLEJO |
Entity Type | Organization |
Authorized Contact | MICHAEL SAUL VP 214-379-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CA 48-04) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 48-02) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2024-02-13 |