| NPI | 1154548535 |
|---|---|
| Doing Business As | MEDMARK TREATMENT CENTERS - VALLEJO |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 48-04) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 48-02) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-07-29 |